HEATHER RENEE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120406

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

RENEE

Last Name

JOHNSON

Business Name

HEATHER RENEE JOHNSON

Original Issue Date

03/31/1998

Effective Date

03/31/1998

Expiration Date

03/31/1999

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005