LISA ANN DICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254741

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

DICKERSON

Business Name

LISA ANN DICKERSON

Original Issue Date

12/01/2017

Effective Date

12/01/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018