NATHAN WAYNE DIXON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134510

License Status

INACTIVE

Business

First Name

NATHAN

Middle

WAYNE

Last Name

DIXON

Business Name

NATHAN WAYNE DIXON

Original Issue Date

02/08/2001

Effective Date

03/21/2013

Expiration Date

03/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/09/2014