TIA P JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085926

License Status

NOT RENEWED

Business

First Name

TIA P

Last Name

JOHNSON

Business Name

TIA P JOHNSON

Original Issue Date

01/23/1988

Effective Date

01/23/1988

Expiration Date

03/31/1991

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005