SHELLY H OTSUKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166814

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

OTSUKA

Business Name

SHELLY H OTSUKA

Original Issue Date

03/16/2006

Effective Date

03/02/2010

Expiration Date

03/31/2011

City

ST LOUIS

State

Zip

63034

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/12/2011