ERICA D WIEBENGA - Pharmacist License in Illinois | # 049230034

ERICA D WIEBENGA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230034

License Status

NOT RENEWED

Business

N

First Name

ERICA

Middle

D

Last Name

WIEBENGA

Business Name

ERICA D WIEBENGA

Original Issue Date

12/22/2014

Effective Date

05/12/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023