ELESE M JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115397

License Status

NOT RENEWED

Business

First Name

ELESE M

Last Name

JOHNSON

Business Name

ELESE M JOHNSON

Original Issue Date

09/30/1996

Effective Date

09/30/1996

Expiration Date

03/31/2006

City

CREVE COEUR

State

Zip

61610

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006