DWAYNE E JOHNSON - Pharmacist License in Indiana | # 049218395

DWAYNE E JOHNSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218395

License Status

NOT RENEWED

Business

N

First Name

DWAYNE

Middle

E

Last Name

JOHNSON

Prefix

MR

Business Name

DWAYNE E JOHNSON

Original Issue Date

06/02/2013

Effective Date

03/23/2015

Expiration Date

03/31/2016

State

IN

Ever Disciplined

N

LastModifiedDate

05/20/2016