DARLENE R WIEBENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083034

License Status

NOT RENEWED

Business

First Name

DARLENE R

Last Name

WIEBENGA

Business Name

DARLENE R WIEBENGA

Original Issue Date

07/21/1986

Effective Date

07/21/1986

Expiration Date

03/31/1990

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005