JENNIFER L MIXON - Pharmacist License in Illinois | # 049128032

JENNIFER L MIXON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128032

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

L

Last Name

MIXON

Business Name

JENNIFER L MIXON

Original Issue Date

10/26/1999

Effective Date

10/26/1999

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005