TYEISHA LANISE DIXON - Pharmacist License in Illinois | # 049288239

TYEISHA LANISE DIXON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288239

License Status

NOT RENEWED

Business

N

First Name

TYEISHA

Middle

LANISE

Last Name

DIXON

Business Name

TYEISHA LANISE DIXON

Original Issue Date

11/20/2021

Effective Date

11/20/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022