KENNETH T MIXEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099635

License Status

NOT RENEWED

Business

First Name

KENNETH T

Last Name

MIXEN

Business Name

KENNETH T MIXEN

Original Issue Date

03/10/1992

Effective Date

03/10/1992

Expiration Date

03/31/1993

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005