MICHELLE A JOHNSEN - Pharmacist License in Illinois | # 049124486

MICHELLE A JOHNSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124486

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

A

Last Name

JOHNSEN

Business Name

MICHELLE A JOHNSEN

Original Issue Date

01/20/1999

Effective Date

01/20/1999

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005