JACOB A ORTIZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110148

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

ORTIZ

Business Name

JACOB A ORTIZ

Original Issue Date

04/10/1995

Effective Date

04/10/1995

Expiration Date

03/31/1997

City

FREDERICK

State

Zip

21704

Ever Disciplined

LastModifiedDate

10/17/2005