LANTZ A JOHNSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067014

License Status

CANCELLED

Business

First Name

LANTZ A

Last Name

JOHNSON

Business Name

LANTZ A JOHNSON

Original Issue Date

04/01/1977

Effective Date

04/01/1977

Expiration Date

01/01/1997

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005