DIXON-SHANE LLC - Pharmacist License in Kentucky | # 30*****23

DIXON-SHANE LLC

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED SUBSTANCE DRUG DIST

License Number

30*****23

License Status

CHANGE OF OWNERSHIP

Business

Y

Business Name

DIXON-SHANE LLC

Original Issue Date

05/16/2012

Effective Date

11/28/2018

Expiration Date

12/31/2020

State

KY

Specialty/Qualifier

DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/30/2012