SAMANTHA MARIE ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155336

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

ORTIZ

Business Name

SAMANTHA MARIE ORTIZ

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006