MARY ELLEN WIESE - Pharmacist License in Illinois | # 049074376

MARY ELLEN WIESE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074376

License Status

NOT RENEWED

Business

N

First Name

MARY ELLEN

Last Name

WIESE

Business Name

MARY ELLEN WIESE

Original Issue Date

03/16/1981

Effective Date

02/19/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011