TOMMY BLAKE DIXON - Pharmacist License in Illinois | # 049300083

TOMMY BLAKE DIXON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300083

License Status

NOT RENEWED

Business

N

First Name

TOMMY

Middle

BLAKE

Last Name

DIXON

Business Name

TOMMY BLAKE DIXON

Original Issue Date

02/23/2023

Effective Date

02/23/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025