TAMARA N JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172039

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

JOHNSON

Business Name

TAMARA N JOHNSON

Original Issue Date

10/24/2006

Effective Date

03/27/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013