JASON MICAH JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122278

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MICAH

Last Name

JOHNSON

Business Name

JASON MICAH JOHNSON

Original Issue Date

08/05/1998

Effective Date

08/05/1998

Expiration Date

03/31/2002

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005