IDA M JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091950

License Status

NOT RENEWED

Business

First Name

IDA M

Last Name

JOHNSON

Business Name

IDA M JOHNSON

Original Issue Date

12/30/1989

Effective Date

12/30/1989

Expiration Date

03/31/2002

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

12/06/2005