CARLY MARIE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170766

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

MARIE

Last Name

JOHNSON

Business Name

CARLY MARIE JOHNSON

Original Issue Date

08/23/2006

Effective Date

08/23/2006

Expiration Date

03/31/2007

City

VARNA

State

Zip

61375

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/14/2007