MICHAEL T WIESBROOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030761

License Status

NOT RENEWED

Business

First Name

MICHAEL T

Last Name

WIESBROOK

Business Name

MICHAEL T WIESBROOK

Original Issue Date

12/18/1975

Effective Date

01/15/2020

Expiration Date

07/31/2022

City

WOODLAND PARK

State

Zip

80866

County

COLORADO

Ever Disciplined

LastModifiedDate

10/14/2022