LESLIE MARIE WIERENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136410

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

MARIE

Last Name

WIERENGA

Business Name

LESLIE MARIE WIERENGA

Original Issue Date

05/23/2001

Effective Date

05/23/2001

Expiration Date

03/31/2003

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005