SHANE L DIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151481

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

DIXON

Business Name

SHANE L DIXON

Original Issue Date

10/09/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/14/2007