BLAKE ALEXANDRA JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247554

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

ALEXANDRA

Last Name

JOHNSON

Business Name

BLAKE ALEXANDRA JOHNSON

Original Issue Date

01/04/2017

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/08/2021