GRACE MADISON JOHNSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279368

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

MADISON

Last Name

JOHNSEN

Business Name

GRACE MADISON JOHNSEN

Original Issue Date

02/10/2021

Effective Date

02/10/2021

Expiration Date

05/31/2022

City

BIG ROCK

State

Zip

60511

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022