DONNA L OTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110850

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

OTIS

Business Name

DONNA L OTIS

Original Issue Date

06/14/1995

Effective Date

06/14/1995

Expiration Date

03/31/1999

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005