LATANIA D JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212909

License Status

NOT RENEWED

Business

First Name

LATANIA

Middle

Last Name

JOHNSON

Prefix

Business Name

LATANIA D JOHNSON

Original Issue Date

08/17/2012

Effective Date

08/17/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013