SHANE ANTHONY JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168081

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

ANTHONY

Last Name

JOHNSON

Business Name

SHANE ANTHONY JOHNSON

Original Issue Date

04/24/2006

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016