NICHOLAS SHAWN ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268733

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

SHAWN

Last Name

ORTIZ

Business Name

NICHOLAS SHAWN ORTIZ

Original Issue Date

10/21/2019

Effective Date

03/10/2020

Expiration Date

03/31/2021

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/20/2021