JENNA MICHELLE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269536

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

MICHELLE

Last Name

GREEN

Business Name

JENNA MICHELLE GREEN

Original Issue Date

11/25/2019

Effective Date

05/29/2022

Expiration Date

03/31/2023

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

09/07/2023