JACQUELINE SUZANNE OTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292897

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SUZANNE

Last Name

OTT

Business Name

JACQUELINE SUZANNE OTT

Original Issue Date

06/01/2022

Effective Date

03/06/2023

Expiration Date

03/31/2024

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2025