KATHLEEN R WIERSEMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112976

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

WIERSEMA

Business Name

KATHLEEN R WIERSEMA

Original Issue Date

01/23/1996

Effective Date

01/23/1996

Expiration Date

03/31/2002

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005