THEOFORE JOSEPH BIDLEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156838

License Status

NOT RENEWED

Business

First Name

THEOFORE

Middle

JOSEPH

Last Name

BIDLEMAN

Business Name

THEOFORE JOSEPH BIDLEMAN

Original Issue Date

08/23/2004

Effective Date

08/23/2004

Expiration Date

03/31/2005

City

CREVE COEUR

State

Zip

61610

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005