JENIKKA KIESHAN JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254234

License Status

NOT RENEWED

Business

First Name

JENIKKA

Middle

KIESHAN

Last Name

JOHNSON

Business Name

JENIKKA KIESHAN JOHNSON

Original Issue Date

11/07/2017

Effective Date

11/07/2017

Expiration Date

03/31/2018

City

GARY

State

Zip

46408

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018