KEILA JUANITA JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121504

License Status

NOT RENEWED

Business

First Name

KEILA

Middle

JUANITA

Last Name

JOHNSON

Business Name

KEILA JUANITA JOHNSON

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

03/31/2003

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005