NICHOLAS GEORGE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214060

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

GEORGE

Last Name

GREEN

Business Name

NICHOLAS GEORGE GREEN

Original Issue Date

10/16/2012

Effective Date

04/04/2016

Expiration Date

03/31/2017

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017