ANTHONY NATHAN ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286335

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

NATHAN

Last Name

ORTIZ

Business Name

ANTHONY NATHAN ORTIZ

Original Issue Date

10/14/2021

Effective Date

10/14/2021

Expiration Date

05/31/2022

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022