ALYSSA BROOKE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260833

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

BROOKE

Last Name

JOHNSON

Business Name

ALYSSA BROOKE JOHNSON

Original Issue Date

10/24/2018

Effective Date

10/24/2018

Expiration Date

03/31/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019