JACKIE K JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160476

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

JOHNSON

Business Name

JACKIE K JOHNSON

Original Issue Date

04/21/2005

Effective Date

04/21/2005

Expiration Date

03/31/2006

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/11/2006