PAIGE ALLISON WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142526

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

ALLISON

Last Name

WIESE

Business Name

PAIGE ALLISON WIESE

Original Issue Date

05/17/2002

Effective Date

05/17/2002

Expiration Date

03/31/2004

City

IOWA CITY

State

Zip

52240

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005