SHIRINA LATRICE DICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277556

License Status

NOT RENEWED

Business

First Name

SHIRINA

Middle

LATRICE

Last Name

DICKERSON

Business Name

SHIRINA LATRICE DICKERSON

Original Issue Date

11/23/2020

Effective Date

11/23/2020

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021