REGINA S WEISENBARN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062470

License Status

NOT RENEWED

Business

First Name

REGINA S

Last Name

WEISENBARN

Business Name

REGINA S WEISENBARN

Original Issue Date

11/01/1974

Effective Date

11/01/1974

Expiration Date

03/31/2003

City

PESOTUM

State

Zip

61863

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005