JACQUELINE ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211547

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

ORTIZ

Prefix

Business Name

JACQUELINE ORTIZ

Original Issue Date

06/06/2012

Effective Date

01/24/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014