JOHNNY DANIEL PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174598

License Status

NOT RENEWED

Business

First Name

JOHNNY

Middle

DANIEL

Last Name

PARK

Business Name

JOHNNY DANIEL PARK

Original Issue Date

03/02/2007

Effective Date

04/12/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2025