NICOLE ANNE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139801

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ANNE

Last Name

JOHNSON

Business Name

NICOLE ANNE JOHNSON

Original Issue Date

01/04/2002

Effective Date

01/04/2002

Expiration Date

03/31/2003

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005