PURA M ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067667

License Status

NOT RENEWED

Business

First Name

PURA M

Last Name

ORTIZ

Business Name

PURA M ORTIZ

Original Issue Date

07/01/1977

Effective Date

07/01/1977

Expiration Date

03/31/1982

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005