DAMARIUS L DIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145075

License Status

NOT RENEWED

Business

First Name

DAMARIUS

Middle

Last Name

DIXON

Business Name

DAMARIUS L DIXON

Original Issue Date

10/02/2002

Effective Date

10/02/2002

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005