MARQUETTA MICHELLE DICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256166

License Status

NOT RENEWED

Business

First Name

MARQUETTA

Middle

MICHELLE

Last Name

DICKERSON

Business Name

MARQUETTA MICHELLE DICKERSON

Original Issue Date

02/14/2018

Effective Date

02/14/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019