TAYVIAN ALANTAE JOHNSON - Pharmacist License in Illinois | # 049255337

TAYVIAN ALANTAE JOHNSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255337

License Status

NOT RENEWED

Business

N

First Name

TAYVIAN

Middle

ALANTAE

Last Name

JOHNSON

Business Name

TAYVIAN ALANTAE JOHNSON

Original Issue Date

01/04/2018

Effective Date

03/20/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021