BRENT M JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235280

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

JOHNSON

Business Name

BRENT M JOHNSON

Original Issue Date

08/05/2015

Effective Date

08/05/2015

Expiration Date

03/31/2016

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/20/2016