PATRICIA KATHLEEN WIERSGALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126308

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

KATHLEEN

Last Name

WIERSGALLA

Business Name

PATRICIA KATHLEEN WIERSGALLA

Original Issue Date

06/14/1999

Effective Date

06/14/1999

Expiration Date

03/31/2000

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005