SHANE ANTHONY JOHNSON - Pharmacist License in Illinois | # 049168081

SHANE ANTHONY JOHNSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168081

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016