ANDRE DION MIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119184

License Status

NOT RENEWED

Business

First Name

ANDRE

Middle

DION

Last Name

MIXON

Business Name

ANDRE DION MIXON

Original Issue Date

10/28/1997

Effective Date

10/28/1997

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005