BRENDA LOU JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076275

License Status

NOT RENEWED

Business

First Name

BRENDA LOU

Last Name

JOHNSON

Business Name

BRENDA LOU JOHNSON

Original Issue Date

04/02/1982

Effective Date

04/02/1982

Expiration Date

03/31/2002

City

COLONA

State

Zip

61241

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2001007662

Action

Revocation

Discipline Start Date

04/29/2005

Discipline Reason

DIVERTED CONTROLLED SUBSTANCES FROM HER EMPLOYER.