M MADELINE OTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059319

License Status

NOT RENEWED

Business

First Name

M MADELINE

Last Name

OTT

Business Name

M MADELINE OTT

Original Issue Date

04/02/1973

Effective Date

04/02/1973

Expiration Date

01/01/1997

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005