FRANCIS WAYNE WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058145

License Status

NOT RENEWED

Business

First Name

FRANCIS WAYNE

Last Name

WIESE

Business Name

FRANCIS WAYNE WIESE

Original Issue Date

07/21/1972

Effective Date

07/21/1972

Expiration Date

01/01/1997

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005