MIACALLA DIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164379

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006