OTIS F POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212443

License Status

NOT RENEWED

Business

First Name

OTIS

Middle

Last Name

POWELL

Business Name

OTIS F POWELL

Original Issue Date

07/26/2012

Effective Date

07/26/2012

Expiration Date

03/31/2013

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013