KENNETH T MIXEN - Pharmacist License in Illinois | # 049099635

KENNETH T MIXEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099635

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005