STACIE E MIZE - Pharmacist License in Tennessee | # 049178421

STACIE E MIZE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178421

License Status

NOT RENEWED

Business

N

First Name

STACIE

Middle

E

Last Name

MIZE

Business Name

STACIE E MIZE

BusinessDBA

CLARK

Original Issue Date

08/13/2007

Effective Date

08/13/2007

Expiration Date

03/31/2008

State

TN

Ever Disciplined

N

LastModifiedDate

05/02/2008