VIDA JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063663

License Status

NOT RENEWED

Business

First Name

VIDA

Last Name

JOHNSON

Business Name

VIDA JOHNSON

Original Issue Date

06/13/1975

Effective Date

06/13/1975

Expiration Date

01/01/1997

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005