BLAINE ALEXANDER JOHNSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204943

License Status

INACTIVE

Business

First Name

BLAINE

Middle

ALEXANDER

Last Name

JOHNSON

Business Name

BLAINE ALEXANDER JOHNSON

Original Issue Date

06/23/2011

Effective Date

01/14/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60605

Ever Disciplined

LastModifiedDate

01/28/2016