WENNY SISWOJO - Pharmacist License in Illinois | # 049311330

WENNY SISWOJO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049311330

License Status

NOT RENEWED

Business

N

First Name

WENNY

Last Name

SISWOJO

Business Name

WENNY SISWOJO

Original Issue Date

04/12/2024

Effective Date

04/12/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025