LISA WIELAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074259

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

WIELAND

Business Name

LISA WIELAND

Original Issue Date

02/20/1981

Effective Date

02/20/1981

Expiration Date

03/31/1984

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005