ETTA FAYE GENTRY KOTTKAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065046

License Status

NOT RENEWED

Business

First Name

ETTA FAYE GENTRY

Last Name

KOTTKAMP

Business Name

ETTA FAYE GENTRY KOTTKAMP

Original Issue Date

03/19/1976

Effective Date

03/19/1976

Expiration Date

03/31/1984

City

IRVINGTON

State

Zip

62848

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/17/2005