Lisa L Tidwell
ExpiredIllinois license 049110838
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049110838
- Status
- Expired (Not Renewed)
- First issued
- June 14, 1995
- Expired
- March 31, 2004
- License holder
- Lisa L Tidwell
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/14/1995
Contact
Pontiac, IL 61764
Livingston County