AMANDA S JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210070

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

JOHNSON

Prefix

Business Name

AMANDA S JOHNSON

Original Issue Date

04/02/2012

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013