NICHOLE M JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141352

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

Last Name

JOHNSON

Business Name

NICHOLE M JOHNSON

Original Issue Date

03/12/2002

Effective Date

03/12/2002

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006