HENRY A WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051020728

License Status

NOT RENEWED

Business

First Name

HENRY A

Last Name

WIESE

Business Name

HENRY A WIESE

Original Issue Date

01/01/1997

Expiration Date

01/31/1982

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005