LA TANYA U JOHNSON - Pharmacist License in Wisconsin | # 049209644

LA TANYA U JOHNSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209644

License Status

NOT RENEWED

Business

N

First Name

LA TANYA

Middle

U

Last Name

JOHNSON

Prefix

MR

Business Name

LA TANYA U JOHNSON

Original Issue Date

03/08/2012

Effective Date

06/18/2015

Expiration Date

03/31/2016

State

WI

Ever Disciplined

N

LastModifiedDate

05/20/2016