JENNIFER WIESE - Pharmacist License in Illinois | # 049096994

JENNIFER WIESE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096994

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Last Name

WIESE

Business Name

JENNIFER WIESE

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005