SCOTT L WIEGAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154140

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

WIEGAND

Business Name

SCOTT L WIEGAND

Original Issue Date

04/21/2004

Effective Date

01/28/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010