MADELON MICHELLE OTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160353

License Status

NOT RENEWED

Business

First Name

MADELON

Middle

MICHELLE

Last Name

OTT

Business Name

MADELON MICHELLE OTT

Original Issue Date

04/19/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008