TAYVIAN ALANTAE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255337

License Status

NOT RENEWED

Business

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

City

ROCK ISLAND

State

Zip

61201

County

ADAMS

Ever Disciplined

LastModifiedDate

01/08/2021