CAROLYN MIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128470

License Status

NOT RENEWED

Business

First Name

CAROLYN

Last Name

MIXON

Business Name

CAROLYN MIXON

Original Issue Date

12/03/1999

Effective Date

09/16/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010

Case Number

2009002876

Action

Suspension

Discipline Start Date

05/26/2009

Discipline End Date

07/16/2009

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax release received from Department of Revenue.