MICHELLE SUE MIZE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159998

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

SUE

Last Name

MIZE

Business Name

MICHELLE SUE MIZE

Original Issue Date

04/08/2005

Effective Date

01/24/2020

Expiration Date

03/31/2021

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

07/20/2021