LARRY JOHN WIESEMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073880

License Status

NOT RENEWED

Business

First Name

LARRY JOHN

Last Name

WIESEMANN

Business Name

LARRY JOHN WIESEMANN

Original Issue Date

11/07/1980

Effective Date

03/11/2015

Expiration Date

03/31/2016

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016