PORTIA L DICKERSON - Pharmacist License in Indiana | # 049094091

PORTIA L DICKERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094091

License Status

NOT RENEWED

Business

N

First Name

PORTIA L

Last Name

DICKERSON

Business Name

PORTIA L DICKERSON

Original Issue Date

08/10/1990

Effective Date

03/10/2006

Expiration Date

03/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

05/14/2007