BRIAN D OTTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241152

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

OTTA

Prefix

Business Name

BRIAN D OTTA

Original Issue Date

04/19/2016

Effective Date

02/05/2020

Expiration Date

03/31/2021

City

MACON

State

Zip

62544

County

MACON

Ever Disciplined

LastModifiedDate

07/20/2021