License holder summary

OTTO FREDERICK TIDWELL is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for OTTO FREDERICK TIDWELL is PHILADELPHIA PA 19102. This licensed professional license is not current. The license was granted 12/08/1989 and expired on 03/31/2011.

Pennsylvania

Department of State

OTTO FREDERICK TIDWELL
Dentistry - Anesthesia Permit - Unrestricted
License number
DA022622A
Date granted
12/08/1989
Date expires
03/31/2011
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Expired
Address
PHILADELPHIA PA 19102
palicensing.org
ID 16539932
LAST UPDATED 2024-03-18 17:03:29 UTC

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