JOMAR ALEXIS MEDINA ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264113

License Status

NOT RENEWED

Business

First Name

JOMAR

Middle

ALEXIS

Last Name

MEDINA ORTIZ

Business Name

JOMAR ALEXIS MEDINA ORTIZ

Original Issue Date

04/05/2019

Effective Date

02/08/2023

Expiration Date

03/31/2024

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2025