LATASHA M MIXON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206338

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

Last Name

MIXON

Prefix

Business Name

LATASHA M MIXON

Original Issue Date

08/30/2011

Effective Date

12/18/2012

Expiration Date

03/31/2013

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

01/15/2026