OTIS J MAXWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082203

License Status

NOT RENEWED

Business

First Name

OTIS J

Last Name

MAXWELL

Business Name

OTIS J MAXWELL

Original Issue Date

02/07/1986

Effective Date

02/07/1986

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60627

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005