ORVEN REVICENCIO ORTEGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141061

License Status

NOT RENEWED

Business

First Name

ORVEN

Middle

REVICENCIO

Last Name

ORTEGA

Business Name

ORVEN REVICENCIO ORTEGA

Original Issue Date

02/28/2002

Effective Date

02/04/2023

Expiration Date

03/31/2024

City

GILBERTS

State

Zip

60136

County

KANE

Ever Disciplined

LastModifiedDate

01/03/2025