CHANNING Q MOFFITH-MIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192988

License Status

NOT RENEWED

Business

First Name

CHANNING

Middle

Last Name

MOFFITH-MIXON

Business Name

CHANNING Q MOFFITH-MIXON

Original Issue Date

07/14/2009

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012