MELISSA ANN OTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151950

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ANN

Last Name

OTIS

Business Name

MELISSA ANN OTIS

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

03/31/2006

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

05/11/2006