LISA L TIDWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110838

License Status

NOT RENEWED

Business

First Name

LISA L

Last Name

TIDWELL

Business Name

LISA L TIDWELL

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

03/31/2004

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/20/2005