DIANE DIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058185

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

DIXON

Business Name

DIANE DIXON

Original Issue Date

08/12/1972

Effective Date

08/12/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005