LANNY MIZE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178382

License Status

NOT RENEWED

Business

First Name

LANNY

Last Name

MIZE

Business Name

LANNY MIZE

BusinessDBA

MIZE

Original Issue Date

08/10/2007

Effective Date

08/10/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008