BRANDON J WIESBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221246

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

WIESBACH

Prefix

Business Name

BRANDON J WIESBACH

Original Issue Date

10/03/2013

Effective Date

02/18/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016