MARK ANTHONY MIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217391

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANTHONY

Last Name

MIXON

Business Name

MARK ANTHONY MIXON

Original Issue Date

04/15/2013

Effective Date

04/15/2013

Expiration Date

03/31/2014

City

FORT COLLINS

State

Zip

80525

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014