Tanja R Wiersum

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049113274

Status

Expired (Not Renewed)

First issued

February 1, 1996

Expired

March 31, 2003

License holder

Tanja R Wiersum

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

02/01/1996

Other Illinois licenses under this name

• IL
  Tanja R Wiersum

  License 051289153

  Registered Pharmacist (Pharmacy)
  Active

  Hawthorn Woods, IL

  Expires Mar 31, 2028

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