JOHNNA ANN ZICKEFOOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146005

License Status

NOT RENEWED

Business

First Name

JOHNNA

Middle

ANN

Last Name

ZICKEFOOSE

Business Name

JOHNNA ANN ZICKEFOOSE

Original Issue Date

11/21/2002

Effective Date

11/21/2002

Expiration Date

03/31/2005

City

MOUNT CARROLL

State

Zip

61053

County

CARROLL

Ever Disciplined

LastModifiedDate

10/20/2005