JACKIE LYNN DIX - Pharmacist License in Arizona | # 051288859

JACKIE LYNN DIX

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288859

License Status

INACTIVE

Business

N

First Name

JACKIE

Middle

LYNN

Last Name

DIX

Business Name

JACKIE LYNN DIX

Original Issue Date

06/27/2002

Effective Date

03/31/2004

Expiration Date

03/31/2006

State

AZ

Ever Disciplined

N

LastModifiedDate

01/18/2006