KRISTEN WIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202754

License Status

NOT RENEWED

Business

First Name

KRISTEN

Last Name

WIESE

Business Name

KRISTEN WIESE

Original Issue Date

02/15/2011

Effective Date

02/15/2011

Expiration Date

03/31/2012

City

ANN ARBOR

State

Zip

48103

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/07/2012