KENT D JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080069

License Status

NOT RENEWED

Business

First Name

KENT D

Last Name

JOHNSON

Business Name

KENT D JOHNSON

Original Issue Date

07/31/1984

Effective Date

07/31/1984

Expiration Date

03/31/1986

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005