SANDRA IVETH JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162222

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

IVETH

Last Name

JOHNSON

Business Name

SANDRA IVETH JOHNSON

Original Issue Date

07/13/2005

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012