JEREMY OTTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199674

License Status

NOT RENEWED

Business

First Name

JEREMY

Last Name

OTTO

Prefix

Business Name

JEREMY OTTO

Original Issue Date

07/29/2010

Effective Date

01/24/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012