AYODALE SAMUELLA JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129119

License Status

NOT RENEWED

Business

First Name

AYODALE

Middle

SAMUELLA

Last Name

JOHNSON

Business Name

AYODALE SAMUELLA JOHNSON

Original Issue Date

02/02/2000

Effective Date

02/02/2000

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005