DIANE E ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215398

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

ORTIZ

Prefix

Business Name

DIANE E ORTIZ

Original Issue Date

01/09/2013

Effective Date

01/09/2013

Expiration Date

03/31/2014

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014