JAN K WIEHARDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101286

License Status

NOT RENEWED

Business

First Name

JAN K

Last Name

WIEHARDT

Business Name

JAN K WIEHARDT

Original Issue Date

09/17/1992

Effective Date

09/17/1992

Expiration Date

03/31/2002

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

12/06/2005