AMBER KRISTEEN WIEDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134942

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

KRISTEEN

Last Name

WIEDMAN

Business Name

AMBER KRISTEEN WIEDMAN

Original Issue Date

03/06/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

HERRIN

State

Zip

62948

Ever Disciplined

LastModifiedDate

05/14/2007