Mark Wayne Johnsen
ExpiredIllinois license 049062705
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049062705
- Status
- Expired (Not Renewed)
- First issued
- December 20, 1974
- Expired
- March 31, 1984
- License holder
- Mark Wayne Johnsen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/20/1974
Contact
Chicago, IL 60641
Cook County