RANDY D WIELAND II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153135

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

Last Name

WIELAND

Suffix

Business Name

RANDY D WIELAND II

Original Issue Date

02/03/2004

Effective Date

09/02/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010