LAURA A GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204536

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

GREEN

Prefix

Business Name

LAURA A GREEN

Original Issue Date

05/31/2011

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

EAST GRAND RAPIDS

State

Zip

49506

Ever Disciplined

LastModifiedDate

05/20/2016