KEELY N WIEBOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173954

License Status

NOT RENEWED

Business

First Name

KEELY

Middle

Last Name

WIEBOLD

Business Name

KEELY N WIEBOLD

Original Issue Date

01/26/2007

Effective Date

01/26/2007

Expiration Date

03/31/2008

City

SHENANDOAH

State

Zip

51601

County

IOWA

Ever Disciplined

LastModifiedDate

05/02/2008