ROBYN ANNE TIDERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148812

License Status

NOT RENEWED

Business

First Name

ROBYN

Middle

ANNE

Last Name

TIDERMAN

Business Name

ROBYN ANNE TIDERMAN

Original Issue Date

06/12/2003

Effective Date

06/12/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005