GLENN G KOTLAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071896

License Status

CANCELLED

Business

First Name

GLENN G

Last Name

KOTLAN

Business Name

GLENN G KOTLAN

Original Issue Date

09/21/1979

Effective Date

09/21/1979

Expiration Date

03/31/1984

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005