ONTAYUS AUSHONDRE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283619

License Status

NOT RENEWED

Business

First Name

ONTAYUS

Middle

AUSHONDRE

Last Name

GREEN

Business Name

ONTAYUS AUSHONDRE GREEN

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022