LYDIA GRACE WIEGAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265685

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

GRACE

Last Name

WIEGAND

Business Name

LYDIA GRACE WIEGAND

Original Issue Date

05/30/2019

Effective Date

05/30/2019

Expiration Date

09/30/2020

City

DEER CREEK

State

Zip

61733

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/08/2021