TANA ELAINE WIESEHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271271

License Status

NOT RENEWED

Business

First Name

TANA

Middle

ELAINE

Last Name

WIESEHAN

Business Name

TANA ELAINE WIESEHAN

Original Issue Date

02/26/2020

Effective Date

02/16/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022