PAUL K WIEMERSLAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152846

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

WIEMERSLAGE

Business Name

PAUL K WIEMERSLAGE

Original Issue Date

01/13/2004

Effective Date

01/13/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60625

Ever Disciplined

LastModifiedDate

10/20/2005