MATTHEW CHARLES WIESMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300034

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

CHARLES

Last Name

WIESMORE

Business Name

MATTHEW CHARLES WIESMORE

Original Issue Date

10/18/2016

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

RALEIGH

State

Zip

27615

Ever Disciplined

LastModifiedDate

10/14/2022