SAMUEL K OTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142676

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

OTEN

Business Name

SAMUEL K OTEN

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005