EDITH L OTTENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104559

License Status

NOT RENEWED

Business

First Name

EDITH L

Last Name

OTTENS

Business Name

EDITH L OTTENS

Original Issue Date

09/20/1993

Effective Date

09/20/1993

Expiration Date

03/31/1998

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005