CYNTHIA MAE WIESE - Pharmacist License in Illinois | # 049071730

CYNTHIA MAE WIESE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071730

License Status

NOT RENEWED

Business

N

First Name

CYNTHIA MAE

Last Name

WIESE

Business Name

CYNTHIA MAE WIESE

Original Issue Date

08/10/1979

Effective Date

08/10/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005