Brian D Otta
ExpiredIllinois license 049241152
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049241152
- Status
- Expired (Not Renewed)
- First issued
- April 19, 2016
- Expired
- March 31, 2021
- License holder
- Brian D Otta
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/05/2020
Contact
Macon, IL 62544
Macon County