LEO C GREEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029121

License Status

INACTIVE

Business

First Name

LEO C

Last Name

GREEN

Business Name

LEO C GREEN

Original Issue Date

06/09/1972

Effective Date

06/09/1972

Expiration Date

03/31/1986

City

ST. LOUIS

State

Zip

63137

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005