Kenneth T Mixen
ExpiredIllinois license 049099635
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049099635
- Status
- Expired (Not Renewed)
- First issued
- March 10, 1992
- Expired
- March 31, 1993
- License holder
- Kenneth T Mixen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/10/1992
Contact
Quincy, IL 62301
Adams County