PATRICE TAMILAH JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124210

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

TAMILAH

Last Name

JOHNSON

Business Name

PATRICE TAMILAH JOHNSON

Original Issue Date

12/18/1998

Effective Date

12/18/1998

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005