MARY A OTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028503

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

OTIS

Business Name

MARY A OTIS

Original Issue Date

01/01/1997

Effective Date

03/24/2014

Expiration Date

03/31/2016

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016