License holder summary

JOHNSON SULLIV FAIRBANKS is a Pharmacy - Pharmacist licensed to practice in Utah. The address on file for JOHNSON SULLIV FAIRBANKS is WATERPROOF, LA 71375. This licensed professional license is not current. The license was granted 10/01/1982 and expired on 12/31/1988.

Utah

Division of Occupational and Professional Licensing

JOHNSON SULLIV FAIRBANKS
Pharmacy - Pharmacist
License number
146679-1701
Date granted
10/01/1982
Date expires
12/31/1988
Class
Pharmacy - Pharmacist
Status
Expired
Address
WATERPROOF, LA 71375
utahlicensing.org
ID 29885774
LAST UPDATED 2024-04-11 06:30:33 UTC

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