BURTON KENNETH WIEKERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057145

License Status

NOT RENEWED

Business

First Name

BURTON KENNETH

Last Name

WIEKERT

Business Name

BURTON KENNETH WIEKERT

Original Issue Date

11/30/1971

Effective Date

11/30/1971

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005