RYAN DOUGLAS JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116121

License Status

NOT RENEWED

Business

First Name

RYAN DOUGLAS

Last Name

JOHNSON

Business Name

RYAN DOUGLAS JOHNSON

Original Issue Date

12/04/1996

Effective Date

12/04/1996

Expiration Date

03/31/1998

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005