MONICA I WIERSEMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157868

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

Last Name

WIERSEMA

Business Name

MONICA I WIERSEMA

Original Issue Date

11/16/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007