MARY JACQUELINE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049051898

License Status

NOT RENEWED

Business

First Name

MARY JACQUELINE

Last Name

JOHNSON

Business Name

MARY JACQUELINE JOHNSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005