JACQUELYN CLEM GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034570

License Status

NOT RENEWED

Business

First Name

JACQUELYN CLEM

Last Name

GREEN

Business Name

JACQUELYN CLEM GREEN

Original Issue Date

09/29/1982

Effective Date

03/22/2016

Expiration Date

03/31/2018

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018