LORI JOHNSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059596

License Status

NOT RENEWED

Business

First Name

LORI

Last Name

JOHNSEN

Business Name

LORI JOHNSEN

Original Issue Date

06/01/1973

Effective Date

06/01/1973

Expiration Date

01/01/1997

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005