ELIZABETH E OTERO Pharmacist License verification

ELIZABETH E OTERO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165712

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

OTERO

Business Name

ELIZABETH E OTERO

Original Issue Date

12/19/2005

Effective Date

03/11/2013

Expiration Date

03/31/2014

City

GENOA CITY

State

Zip

53128

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/06/2014

Case Number

2013006976

Action

Refuse To Renew

Discipline Start Date

07/28/2014

Discipline Reason

after the Department received information that on or about July 12, 2013, Respondent diverted Fentanyl patches from a facility in the state of Illinois.