DAVID WAYNE WIESE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121227

License Status

ACTIVE

Business

First Name

DAVID

Middle

WAYNE

Last Name

WIESE

Business Name

DAVID WAYNE WIESE

Original Issue Date

05/27/1998

Effective Date

02/18/2026

Expiration Date

03/31/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/18/2026