MELODY ANNA JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144914

License Status

NOT RENEWED

Business

First Name

MELODY

Middle

ANNA

Last Name

JOHNSON

Business Name

MELODY ANNA JOHNSON

Original Issue Date

09/30/2002

Effective Date

09/30/2002

Expiration Date

03/31/2005

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005