LARA JOHNSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187579

License Status

NOT RENEWED

Business

First Name

LARA

Last Name

JOHNSON

Business Name

LARA JOHNSON

Original Issue Date

10/09/2008

Effective Date

04/16/2012

Expiration Date

03/31/2013

City

PORT WASHINGTON

State

Zip

53074

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013