BLAINE ALEXANDER JOHNSON - Pharmacist License in Illinois | # 049204943

BLAINE ALEXANDER JOHNSON

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204943

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/28/2016