BENETTE J JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127002

License Status

NOT RENEWED

Business

First Name

BENETTE

Middle

Last Name

JOHNSON

Business Name

BENETTE J JOHNSON

Original Issue Date

08/17/1999

Effective Date

08/17/1999

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005