TARA DAWN JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144510

License Status

NOT RENEWED

Business

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

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2006