LESLIE T OTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102645

License Status

NOT RENEWED

Business

First Name

LESLIE T

Last Name

OTA

Business Name

LESLIE T OTA

Original Issue Date

03/10/1993

Effective Date

03/10/1993

Expiration Date

03/31/1994

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005