MACKENZIE FAY WIELAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265450

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

FAY

Last Name

WIELAND

Business Name

MACKENZIE FAY WIELAND

Original Issue Date

05/20/2019

Effective Date

05/20/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021