PORTIA L DICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094091

License Status

NOT RENEWED

Business

First Name

PORTIA L

Last Name

DICKERSON

Business Name

PORTIA L DICKERSON

Original Issue Date

08/10/1990

Effective Date

03/10/2006

Expiration Date

03/31/2007

City

GARY

State

Zip

46407

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007