LANNY MIZE - Pharmacist License in Illinois | # 049178382

LANNY MIZE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178382

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008