REBEKAH J WIESENHOFER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127862

License Status

NOT RENEWED

Business

First Name

REBEKAH

Middle

Last Name

WIESENHOFER

Business Name

REBEKAH J WIESENHOFER

Original Issue Date

10/13/1999

Effective Date

04/05/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007