LISA M WIELGUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145279

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

WIELGUS

Business Name

LISA M WIELGUS

Original Issue Date

10/11/2002

Effective Date

10/11/2002

Expiration Date

03/31/2005

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005