MICHELLE B DIRICKSON - Pharmacist License in Wisconsin | # 049123088

MICHELLE B DIRICKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123088

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

B

Last Name

DIRICKSON

Business Name

MICHELLE B DIRICKSON

Original Issue Date

10/05/1998

Effective Date

10/05/1998

Expiration Date

03/31/2001

State

WI

Ever Disciplined

N

LastModifiedDate

10/21/2005