ADRIENNE C WIDEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071283

License Status

NOT RENEWED

Business

First Name

ADRIENNE C

Last Name

WIDEMAN

Business Name

ADRIENNE C WIDEMAN

Original Issue Date

06/08/1979

Effective Date

06/08/1979

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005