ORVILLA V ORTALIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146167

License Status

NOT RENEWED

Business

First Name

ORVILLA

Middle

Last Name

ORTALIZ

Business Name

ORVILLA V ORTALIZ

Original Issue Date

12/02/2002

Effective Date

12/02/2002

Expiration Date

03/31/2005

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005