DIXIE A RATLIFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154204

License Status

NOT RENEWED

Business

First Name

DIXIE

Middle

Last Name

RATLIFF

Business Name

DIXIE A RATLIFF

Original Issue Date

04/28/2004

Effective Date

04/28/2004

Expiration Date

03/31/2005

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

10/20/2005