GRACE G JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023565

License Status

NOT RENEWED

Business

First Name

GRACE G

Last Name

JOHNSON

Business Name

GRACE G JOHNSON

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005