NIESSA N JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153538

License Status

NOT RENEWED

Business

First Name

NIESSA

Middle

Last Name

JOHNSON

Business Name

NIESSA N JOHNSON

Original Issue Date

03/10/2004

Effective Date

03/10/2004

Expiration Date

03/31/2005

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/20/2005