SAMANTHA MA ORTEGA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202751

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

ORTEGA

Business Name

SAMANTHA MA ORTEGA

Original Issue Date

02/15/2011

Effective Date

02/10/2017

Expiration Date

03/31/2018

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/19/2018