Department of Consumer Affairs
Board of Pharmacy
TIEDGEN ERNEST WILLIAM III
Pharmacy Technician
License number
115615
Date granted
10/20/2011
Date expires
07/31/2017
Class
Pharmacy Technician
Status
Clear
Address
2498 WALTON AVE SHASTA LAKE CA 96019
californiapharmacists.org
ID 12009000
LAST UPDATED 2024-03-31 12:52:17 UTC
LAST UPDATED 2024-03-31 12:52:17 UTC
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