MICHAEL DAVID JOHANNSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285216

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

JOHANNSEN

Business Name

MICHAEL DAVID JOHANNSEN

Original Issue Date

09/01/2021

Effective Date

09/01/2021

Expiration Date

05/31/2022

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022