CLIFFORD E GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051017429

License Status

NOT RENEWED

Business

First Name

CLIFFORD E

Last Name

GREEN

Business Name

CLIFFORD E GREEN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005