SANDRA L ORTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191722

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

ORTMAN

Business Name

SANDRA L ORTMAN

Original Issue Date

05/18/2009

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2013