MELVIN W OTTENSMEYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036575

License Status

NOT RENEWED

Business

First Name

MELVIN W

Last Name

OTTENSMEYER

Business Name

MELVIN W OTTENSMEYER

Original Issue Date

05/15/1987

Effective Date

03/06/2012

Expiration Date

03/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2014