DONALD W OTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071422

License Status

NOT RENEWED

Business

First Name

DONALD W

Last Name

OTIS

Business Name

DONALD W OTIS

Original Issue Date

06/22/1979

Effective Date

06/22/1979

Expiration Date

01/01/1997

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005