SHANE LEE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188975

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

LEE

Last Name

JOHNSON

Business Name

SHANE LEE JOHNSON

Original Issue Date

12/31/2008

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010