VICTORIA K JOHANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112077

License Status

NOT RENEWED

Business

First Name

VICTORIA K

Last Name

JOHANSEN

Business Name

VICTORIA K JOHANSEN

Original Issue Date

10/12/1995

Effective Date

10/12/1995

Expiration Date

03/31/2005

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005