TARA DAWN JOHNSON - Pharmacist License in Illinois | # 049144510

TARA DAWN JOHNSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144510

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

DAWN

Last Name

JOHNSON

Business Name

TARA DAWN JOHNSON

Original Issue Date

09/05/2002

Effective Date

09/05/2002

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006