VERN LEE JOHNSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064707

License Status

CANCELLED

Business

First Name

VERN LEE

Last Name

JOHNSON

Business Name

VERN LEE JOHNSON

Original Issue Date

01/09/1976

Effective Date

01/09/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005