KEVIN L OTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095182

License Status

NOT RENEWED

Business

First Name

KEVIN L

Last Name

OTIS

Business Name

KEVIN L OTIS

Original Issue Date

12/01/1990

Effective Date

12/01/1990

Expiration Date

03/31/1992

City

WILDWOOD

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005