NICOLE L OTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160556

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

OTT

Business Name

NICOLE L OTT

Original Issue Date

04/25/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008