JACQUELINE A ORTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192806

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

ORTA

Prefix

Business Name

JACQUELINE A ORTA

Original Issue Date

07/03/2009

Effective Date

04/11/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013