KELLIE S JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098549

License Status

NOT RENEWED

Business

First Name

KELLIE S

Last Name

JOHNSON

Business Name

KELLIE S JOHNSON

Original Issue Date

11/01/1991

Effective Date

11/01/1991

Expiration Date

03/31/1993

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005