JACQUELINE R WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133126

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

WIESE

Business Name

JACQUELINE R WIESE

Original Issue Date

10/13/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007