GREGORY N WIERSEMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099767

License Status

NOT RENEWED

Business

First Name

GREGORY N

Last Name

WIERSEMA

Business Name

GREGORY N WIERSEMA

Original Issue Date

03/31/1992

Effective Date

03/31/1992

Expiration Date

03/31/1993

City

CREST HILL

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005