DEBBIE K TIDEMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078922

License Status

NOT RENEWED

Business

First Name

DEBBIE

Middle

Last Name

TIDEMANN

Business Name

DEBBIE K TIDEMANN

Original Issue Date

09/16/1983

Effective Date

09/16/1983

Expiration Date

03/31/1992

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005