GWENDOLYN DEVON DICKISON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191113

License Status

INACTIVE

Business

First Name

GWENDOLYN

Middle

DEVON

Last Name

DICKISON

Business Name

GWENDOLYN DEVON DICKISON

Original Issue Date

04/17/2009

Effective Date

04/17/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2010