ANTOINETTE M TIDWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195798

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

Last Name

TIDWELL

Prefix

Business Name

ANTOINETTE M TIDWELL

Original Issue Date

12/09/2009

Effective Date

03/23/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021