THERESA WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254037

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

WIESE

Business Name

THERESA WIESE

Original Issue Date

10/31/2017

Effective Date

03/29/2018

Expiration Date

03/31/2019

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/15/2019