JACKIE L JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158383

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

JOHNSON

Business Name

JACKIE L JOHNSON

Original Issue Date

12/15/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007