MACKENZIE A JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237897

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

Last Name

JOHNSON

Prefix

Business Name

MACKENZIE A JOHNSON

Original Issue Date

11/23/2015

Effective Date

11/23/2015

Expiration Date

03/31/2016

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016