License Information

The holder whose full name is JOHNSON, ALTON DALE,come from WEST LAFAYETTE IN,hold the Pharmacist license(NO.26092065A) which status is Expired Non-Renewable.

NameJOHNSON, ALTON DALE
License Number26092065A
License TypePharmacist
License StatusExpired Non-Renewable
CityWEST LAFAYETTE
StateIN

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