PAUL R ORTIZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080273

License Status

INACTIVE

Business

First Name

PAUL R

Last Name

ORTIZ

Business Name

PAUL R ORTIZ

Original Issue Date

09/24/1984

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008