ELIZABETH CYSTAL MIX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146547

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

CYSTAL

Last Name

MIX

Business Name

ELIZABETH CYSTAL MIX

Original Issue Date

01/03/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009