CAROL JOHANNSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066910

License Status

NOT RENEWED

Business

First Name

CAROL

Last Name

JOHANNSEN

Business Name

CAROL JOHANNSEN

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

01/01/1997

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005