PHYLLIS J WIECHECKI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071982

License Status

INACTIVE

Business

First Name

PHYLLIS J

Last Name

WIECHECKI

Business Name

PHYLLIS J WIECHECKI

Original Issue Date

10/05/1979

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

01/12/2012