JAMES STEVEN WIEBENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173551

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

STEVEN

Last Name

WIEBENGA

Business Name

JAMES STEVEN WIEBENGA

Original Issue Date

01/11/2007

Effective Date

01/21/2015

Expiration Date

03/31/2016

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/20/2016