LYDMARIS ORTIZ FUENTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258292

License Status

NOT RENEWED

Business

First Name

LYDMARIS

Last Name

ORTIZ FUENTES

Business Name

LYDMARIS ORTIZ FUENTES

Original Issue Date

06/01/2018

Effective Date

06/01/2018

Expiration Date

03/31/2019

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019