DIAMOND LATRICE MAE JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049308485

License Status

NOT RENEWED

Business

First Name

DIAMOND

Middle

LATRICE MAE

Last Name

JOHNSON

Business Name

DIAMOND LATRICE MAE JOHNSON

Original Issue Date

12/15/2023

Effective Date

12/15/2023

Expiration Date

03/31/2024

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/03/2025