MICHAEL LARNARD OTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188088

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

LARNARD

Last Name

OTIS

Business Name

MICHAEL LARNARD OTIS

Original Issue Date

10/30/2008

Effective Date

10/30/2008

Expiration Date

03/31/2009

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009