ELLEN MARIE WIEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099914

License Status

NOT RENEWED

Business

First Name

ELLEN MARIE

Last Name

WIEMAN

Business Name

ELLEN MARIE WIEMAN

Original Issue Date

04/16/1992

Effective Date

04/16/1992

Expiration Date

03/31/1993

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005