IVAN D JOHNSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021787

License Status

INACTIVE

Business

First Name

IVAN D

Last Name

JOHNSON

Business Name

IVAN D JOHNSON

Original Issue Date

01/01/1997

Expiration Date

03/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/06/2005