ALEXANDRA MARY WIEGAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223594

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

MARY

Last Name

WIEGAND

Business Name

ALEXANDRA MARY WIEGAND

Original Issue Date

02/26/2014

Effective Date

01/13/2015

Expiration Date

03/31/2016

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016