KYLE J JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147257

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

Last Name

JOHNSON

Business Name

KYLE J JOHNSON

Original Issue Date

03/05/2003

Effective Date

03/05/2003

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62702

Ever Disciplined

LastModifiedDate

10/20/2005