REBECCA NICOLE WIEBENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182100

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

NICOLE

Last Name

WIEBENGA

Business Name

REBECCA NICOLE WIEBENGA

Original Issue Date

02/08/2008

Effective Date

02/08/2008

Expiration Date

03/31/2009

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/06/2009