KEILA JUANITA JOHNSON - Pharmacist License in Wisconsin | # 049121504

KEILA JUANITA JOHNSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121504

License Status

NOT RENEWED

Business

N

First Name

KEILA

Middle

JUANITA

Last Name

JOHNSON

Business Name

KEILA JUANITA JOHNSON

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

03/31/2003

State

WI

Ever Disciplined

N

LastModifiedDate

10/20/2005