GINA ERISIA JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156660

License Status

NOT RENEWED

Business

First Name

GINA

Middle

ERISIA

Last Name

JOHNSON

Business Name

GINA ERISIA JOHNSON

Original Issue Date

08/16/2004

Effective Date

08/16/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005