DANIEL WESLEY DICKERSON - Pharmacist License in Illinois | # 049154466

DANIEL WESLEY DICKERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154466

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

WESLEY

Last Name

DICKERSON

Business Name

DANIEL WESLEY DICKERSON

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005