NICOLE MARIE OTTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167691

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

OTTEN

Business Name

NICOLE MARIE OTTEN

Original Issue Date

04/12/2006

Effective Date

04/12/2006

Expiration Date

03/31/2007

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

05/14/2007