KELLI LEE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129595

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

LEE

Last Name

JOHNSON

Business Name

KELLI LEE JOHNSON

Original Issue Date

02/28/2000

Effective Date

02/28/2000

Expiration Date

03/31/2003

City

THOMSON

State

Zip

61285

County

CARROLL

Ever Disciplined

LastModifiedDate

10/20/2005