The holder whose full name is JOHNSON, DAVID INGRAM,come from NEW LENOX IL,hold the Pharmacist license(NO.26016220A) which status is Expired Non-Renewable.
Name | JOHNSON, DAVID INGRAM |
---|---|
License Number | 26016220A |
License Type | Pharmacist |
License Status | Expired Non-Renewable |
City | NEW LENOX |
State | IL |