KYLE THOMAS JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198766

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

THOMAS

Last Name

JOHNSON

Business Name

KYLE THOMAS JOHNSON

Original Issue Date

06/09/2010

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022