KELLY ROSE M ORTEGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180586

License Status

NOT RENEWED

Business

First Name

KELLY ROSE

Middle

Last Name

ORTEGA

Business Name

KELLY ROSE M ORTEGA

Original Issue Date

11/16/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/06/2009