Latasha M Mixon
ExpiredIllinois license 049206338
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049206338
- Status
- Expired (Not Renewed)
- First issued
- August 30, 2011
- Expired
- March 31, 2013
- License holder
- Latasha M Mixon
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/18/2012
Contact
Broadview, IL 60155
Cook County