ELIZABETH ANGELIQUE ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161286

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANGELIQUE

Last Name

ORTIZ

Business Name

ELIZABETH ANGELIQUE ORTIZ

Original Issue Date

05/24/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007