TIFFANY M JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290196

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

JOHNSON

Business Name

TIFFANY M JOHNSON

Original Issue Date

09/22/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/04/2010

Case Number

2007007696

Action

Suspension

Discipline Start Date

08/28/2008

Discipline Reason

Diverted controlled substances from her pharmacy employer.