DOMINICK-DANTE CAMERON DIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253274

License Status

NOT RENEWED

Business

First Name

DOMINICK-DANTE

Middle

CAMERON

Last Name

DIXON

Business Name

DOMINICK-DANTE CAMERON DIXON

Original Issue Date

09/21/2017

Effective Date

03/12/2018

Expiration Date

03/31/2019

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/15/2019