SUSAN ROSE JOHNSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035298

License Status

INACTIVE

Business

First Name

SUSAN ROSE

Last Name

JOHNSON

Business Name

SUSAN ROSE JOHNSON

Original Issue Date

08/31/1984

Effective Date

08/31/1984

Expiration Date

03/31/1992

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005