MATTHEW K JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146515

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

JOHNSON

Business Name

MATTHEW K JOHNSON

Original Issue Date

12/30/2002

Effective Date

12/30/2002

Expiration Date

03/31/2005

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/20/2005