MORIAM O OTTUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192168

License Status

NOT RENEWED

Business

First Name

MORIAM

Middle

Last Name

OTTUN

Prefix

Business Name

MORIAM O OTTUN

Original Issue Date

06/07/2009

Effective Date

04/07/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012