SALLY A JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085995

License Status

NOT RENEWED

Business

First Name

SALLY A

Last Name

JOHNSON

Business Name

SALLY A JOHNSON

Original Issue Date

02/03/1988

Effective Date

02/03/1988

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005