DONNA L DICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089167

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

DICKERSON

Business Name

DONNA L DICKERSON

Original Issue Date

03/07/1989

Effective Date

03/07/1989

Expiration Date

03/31/1993

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

10/17/2005