ELIAS ANTHONY MIXON - Pharmacist License in Illinois | # 049258514

ELIAS ANTHONY MIXON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258514

License Status

NOT RENEWED

Business

N

First Name

ELIAS

Middle

ANTHONY

Last Name

MIXON

Business Name

ELIAS ANTHONY MIXON

Original Issue Date

06/12/2018

Effective Date

03/06/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021