TANJA R WIERSUM Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289153

License Status

ACTIVE

Business

First Name

TANJA

Middle

Last Name

WIERSUM

Business Name

TANJA R WIERSUM

Original Issue Date

10/09/2002

Effective Date

01/30/2026

Expiration Date

03/31/2028

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/30/2026