TAYLOR A WIEDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203724

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

WIEDA

Business Name

TAYLOR A WIEDA

Original Issue Date

04/18/2011

Effective Date

02/10/2015

Expiration Date

03/31/2016

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016