ERICA D WIEBENGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230034

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

WIEBENGA

Business Name

ERICA D WIEBENGA

Original Issue Date

12/22/2014

Effective Date

05/12/2022

Expiration Date

03/31/2023

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/07/2023