GREGORY OTIS PADJEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077270

License Status

NOT RENEWED

Business

First Name

GREGORY OTIS

Last Name

PADJEN

Business Name

GREGORY OTIS PADJEN

Original Issue Date

10/31/1982

Effective Date

10/31/1982

Expiration Date

03/31/1986

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005