KENNETH T MIXER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049045610

License Status

NOT RENEWED

Business

First Name

KENNETH T

Last Name

MIXER

Business Name

KENNETH T MIXER

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

LOUISIANA

State

Zip

63353

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005