KIM A OTTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100049

License Status

NOT RENEWED

Business

First Name

KIM A

Last Name

OTTEN

Business Name

KIM A OTTEN

Original Issue Date

05/04/1992

Effective Date

05/04/1992

Expiration Date

03/31/1996

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005