JACKIE LYNN DIX Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288859

License Status

INACTIVE

Business

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

City

GLENDALE

State

Zip

85308

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/18/2006