LESLY J WIEMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078692

License Status

NOT RENEWED

Business

First Name

LESLY J

Last Name

WIEMANN

Business Name

LESLY J WIEMANN

Original Issue Date

07/28/1983

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

BARDOLPH

State

Zip

61416

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/20/2021