MARY LYNN OTTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082372

License Status

NOT RENEWED

Business

First Name

MARY LYNN

Last Name

OTTEN

Business Name

MARY LYNN OTTEN

Original Issue Date

04/04/1986

Effective Date

04/04/1986

Expiration Date

03/31/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005