SAMANTHA ORTEGA DIAZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219007

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

ORTEGA DIAZ

Business Name

SAMANTHA ORTEGA DIAZ

Original Issue Date

06/26/2013

Effective Date

03/10/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015