JENNIFER LYNN OTTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135597

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

OTTMAN

Business Name

JENNIFER LYNN OTTMAN

Original Issue Date

04/04/2001

Effective Date

04/04/2001

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006