MELISSA ELLEN JOHANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133621

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ELLEN

Last Name

JOHANSEN

Business Name

MELISSA ELLEN JOHANSEN

Original Issue Date

11/15/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CASA GRANDE

State

Zip

85122

Ever Disciplined

LastModifiedDate

05/02/2008