ANDREA LEE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155964

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LEE

Last Name

JOHNSON

Business Name

ANDREA LEE JOHNSON

Original Issue Date

07/07/2004

Effective Date

07/07/2004

Expiration Date

03/31/2006

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

05/11/2006