PATRICIA M ORTEGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166813

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

ORTEGA

Business Name

PATRICIA M ORTEGA

Original Issue Date

03/16/2006

Effective Date

03/16/2006

Expiration Date

03/31/2007

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007