ANTONIO S ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141914

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

Last Name

ORTIZ

Business Name

ANTONIO S ORTIZ

Original Issue Date

04/17/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007