MARK J WIEDENSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114161

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

WIEDENSKI

Business Name

MARK J WIEDENSKI

Original Issue Date

05/04/1996

Effective Date

05/04/1996

Expiration Date

03/31/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005