FERN MARIE WEIHE FELLWOCK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155657

License Status

INACTIVE

Business

First Name

FERN

Middle

MARIE

Last Name

WEIHE FELLWOCK

Business Name

FERN MARIE WEIHE FELLWOCK

Original Issue Date

06/23/2004

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

OKAWVILLE

State

Zip

62271

County

WASHINGTON

Ever Disciplined

LastModifiedDate

01/10/2021