MIACALLA DIXON - Pharmacist License in Illinois | # 049164379

MIACALLA DIXON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164379

License Status

NOT RENEWED

Business

N

First Name

MIACALLA

Last Name

DIXON

Business Name

MIACALLA DIXON

Original Issue Date

10/05/2005

Effective Date

10/05/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006