SUSAN D OTTO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176592

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

OTTO

Business Name

SUSAN D OTTO

Original Issue Date

05/24/2007

Effective Date

02/13/2014

Expiration Date

03/31/2015

City

RAMSEY

State

Zip

62080

County

FAYETTE

Ever Disciplined

LastModifiedDate

01/06/2015