JENNIFER A ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142675

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

ORTIZ

Business Name

JENNIFER A ORTIZ

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005