KELLY K JOHNSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290309

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

JOHNSON

Business Name

KELLY K JOHNSON

Original Issue Date

12/14/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SILVER SPRING

State

Zip

20910

County

MARYLAND

Ever Disciplined

LastModifiedDate

01/05/2010