NIESSA N JOHNSON - Pharmacist License in Illinois | # 049153538

NIESSA N JOHNSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153538

License Status

NOT RENEWED

Business

N

First Name

NIESSA

Middle

N

Last Name

JOHNSON

Business Name

NIESSA N JOHNSON

Original Issue Date

03/10/2004

Effective Date

03/10/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005