JENNIFER WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096994

License Status

NOT RENEWED

Business

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

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005