MARK JOHNSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069464

License Status

CANCELLED

Business

First Name

MARK

Last Name

JOHNSON

Business Name

MARK JOHNSON

Original Issue Date

06/02/1978

Effective Date

06/02/1978

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005