RUSS ALAN WIELGOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131947

License Status

NOT RENEWED

Business

First Name

RUSS

Middle

ALAN

Last Name

WIELGOS

Business Name

RUSS ALAN WIELGOS

Original Issue Date

08/01/2000

Effective Date

02/15/2011

Expiration Date

03/31/2012

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012