ELLEN J DIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097964

License Status

NOT RENEWED

Business

First Name

ELLEN J

Last Name

DIXON

Business Name

ELLEN J DIXON

Original Issue Date

09/09/1991

Effective Date

09/09/1991

Expiration Date

03/31/2006

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/11/2006