JEFFREY BROCK JOHNSTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132523

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

BROCK

Last Name

JOHNSTON

Business Name

JEFFREY BROCK JOHNSTON

Original Issue Date

09/06/2000

Effective Date

09/06/2000

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005