ROMEL F MIX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167639

License Status

NOT RENEWED

Business

First Name

ROMEL

Middle

Last Name

MIX

Business Name

ROMEL F MIX

Original Issue Date

04/11/2006

Effective Date

04/11/2006

Expiration Date

03/31/2007

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007