NICOLE SUE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220083

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

SUE

Last Name

GREEN

Business Name

NICOLE SUE GREEN

Original Issue Date

08/16/2013

Effective Date

03/16/2020

Expiration Date

03/31/2021

City

LEROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/20/2021