MICHELLE B DIRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123088

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

DIRICKSON

Business Name

MICHELLE B DIRICKSON

Original Issue Date

10/05/1998

Effective Date

10/05/1998

Expiration Date

03/31/2001

City

HAYWARD

State

Zip

54843

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005