MICHELLE A JOHNSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124486

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

JOHNSEN

Business Name

MICHELLE A JOHNSEN

Original Issue Date

01/20/1999

Effective Date

01/20/1999

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005