KIMBERLY S WIEGAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177617

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WIEGAND

Business Name

KIMBERLY S WIEGAND

Original Issue Date

07/09/2007

Effective Date

03/12/2010

Expiration Date

03/31/2011

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011