CYNTHIA MAE WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071730

License Status

NOT RENEWED

Business

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

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005