MARK J JOHANSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204135

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

JOHANSON

Business Name

MARK J JOHANSON

Original Issue Date

05/15/2011

Effective Date

05/15/2011

Expiration Date

03/31/2012

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012