TIFFANY R OTTEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199055

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

OTTEN

Prefix

Business Name

TIFFANY R OTTEN

Original Issue Date

06/22/2010

Effective Date

03/11/2013

Expiration Date

03/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/09/2014