DANIEL R WIEGAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024565

License Status

NOT RENEWED

Business

First Name

DANIEL R

Last Name

WIEGAND

Business Name

DANIEL R WIEGAND

Original Issue Date

01/01/1997

Effective Date

03/09/2010

Expiration Date

03/31/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

04/30/2013

Case Number

2011006582

Action

Suspension

Discipline Start Date

10/14/2011

Discipline End Date

04/29/2013

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/30/2013.