PAMELA RAE WIEHARDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059857

License Status

NOT RENEWED

Business

First Name

PAMELA RAE

Last Name

WIEHARDT

Business Name

PAMELA RAE WIEHARDT

Original Issue Date

06/29/1973

Effective Date

06/29/1973

Expiration Date

01/01/1997

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005