DONITA LYNNE ONTIVEROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124984

License Status

NOT RENEWED

Business

First Name

DONITA

Middle

LYNNE

Last Name

ONTIVEROS

Business Name

DONITA LYNNE ONTIVEROS

Original Issue Date

03/11/1999

Effective Date

03/11/1999

Expiration Date

03/31/2000

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005