SHANE L DIXON - Pharmacist License in Illinois | # 049151481

SHANE L DIXON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151481

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

L

Last Name

DIXON

Business Name

SHANE L DIXON

Original Issue Date

10/09/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007