AMANDA SUE ORTIZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191044

License Status

INACTIVE

Business

First Name

AMANDA

Middle

SUE

Last Name

ORTIZ

Business Name

AMANDA SUE ORTIZ

Original Issue Date

04/14/2009

Effective Date

03/10/2014

Expiration Date

03/31/2015

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/06/2015