VICKIE LYNN JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132210

License Status

NOT RENEWED

Business

First Name

VICKIE

Middle

LYNN

Last Name

JOHNSON

Business Name

VICKIE LYNN JOHNSON

Original Issue Date

08/16/2000

Effective Date

08/16/2000

Expiration Date

03/31/2001

City

BELLEVUE

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005