MARY ELLEN WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074376

License Status

NOT RENEWED

Business

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

City

HAMPSHIRE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

05/12/2011