KATHRYN L JOHNSON MONFORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242412

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

JOHNSON MONFORT

Prefix

Business Name

KATHRYN L JOHNSON MONFORT

Original Issue Date

06/13/2016

Effective Date

06/13/2016

Expiration Date

03/31/2017

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017