LISA RENEE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124998

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENEE

Last Name

JOHNSON

Business Name

LISA RENEE JOHNSON

Original Issue Date

03/12/1999

Effective Date

03/12/1999

Expiration Date

03/31/2000

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005