STACIE E MIZE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292037

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

MIZE

Business Name

STACIE E MIZE

BusinessDBA

CLARK

Original Issue Date

08/21/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

NASHVILLE

State

Zip

37209

Ever Disciplined

LastModifiedDate

05/04/2010