MARK A JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096854

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

JOHNSON

Business Name

MARK A JOHNSON

Original Issue Date

05/14/1991

Effective Date

05/14/1991

Expiration Date

03/31/1994

City

ROCK ISLAND

State

Zip

61201

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005