TRACEY LYNN JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215612

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

LYNN

Last Name

JOHNSON

Business Name

TRACEY LYNN JOHNSON

Original Issue Date

01/22/2013

Effective Date

04/01/2015

Expiration Date

03/31/2016

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/20/2016