KEISHA MARIE GREEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171987

License Status

NOT RENEWED

Business

First Name

KEISHA

Middle

MARIE

Last Name

GREEN

Business Name

KEISHA MARIE GREEN

Original Issue Date

10/23/2006

Effective Date

03/06/2009

Expiration Date

03/31/2010

City

FLORISSANT

State

Zip

63031

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/04/2010