OTHA E GASTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096278

License Status

NOT RENEWED

Business

First Name

OTHA E

Last Name

GASTON

Business Name

OTHA E GASTON

Original Issue Date

03/26/1991

Effective Date

03/26/1991

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

02/10/2016