OTTO LISEC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051013605

License Status

NOT RENEWED

Business

First Name

OTTO

Last Name

LISEC

Business Name

OTTO LISEC

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005