STEPHANIE ROSE WIEKERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133524

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ROSE

Last Name

WIEKERT

Business Name

STEPHANIE ROSE WIEKERT

Original Issue Date

11/03/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007