PATRICE WEIDNER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059622

License Status

CANCELLED

Business

First Name

PATRICE

Last Name

WEIDNER

Business Name

PATRICE WEIDNER

Original Issue Date

06/01/1973

Effective Date

06/01/1973

Expiration Date

01/01/1997

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005