SUSAN JANE JOHNSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032595

License Status

INACTIVE

Business

First Name

SUSAN JANE

Last Name

JOHNSON

Business Name

SUSAN JANE JOHNSON

Original Issue Date

05/14/1979

Effective Date

03/16/2022

Expiration Date

03/31/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/07/2024