DARRYL A JOHNSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110165

License Status

NOT RENEWED

Business

First Name

DARRYL A

Last Name

JOHNSEN

Business Name

DARRYL A JOHNSEN

Original Issue Date

04/11/1995

Effective Date

04/11/1995

Expiration Date

03/31/1998

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005