PHYLLIS MARIE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049044118

License Status

NOT RENEWED

Business

First Name

PHYLLIS MARIE

Last Name

JOHNSON

Business Name

PHYLLIS MARIE JOHNSON

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005