PHYLLIS A WIEDNER - Pharmacist License in Illinois | # 049137091

PHYLLIS A WIEDNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137091

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

A

Last Name

WIEDNER

Business Name

PHYLLIS A WIEDNER

Original Issue Date

07/03/2001

Effective Date

02/28/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012