MARK J JOHANSON - Pharmacist License in Illinois | # 049204135

MARK J JOHANSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204135

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

J

Last Name

JOHANSON

Business Name

MARK J JOHANSON

Original Issue Date

05/15/2011

Effective Date

05/15/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012