JOSE RAFAEL ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176698

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

RAFAEL

Last Name

ORTIZ

Business Name

JOSE RAFAEL ORTIZ

Original Issue Date

05/31/2007

Effective Date

03/18/2009

Expiration Date

03/31/2010

City

MELROSE PARK

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010