License holder summary

IVELISSE M ORTIZ is a Pharmacist, Pharmacies - Pharmacist licensed to practice in Michigan. The address on file for IVELISSE M ORTIZ is Farmington Hills, MI 48336. This licensed professional license is not current. The license was granted 10/22/1996 and expired on 06/30/1999.

Michigan

Department of Licensing and Regulation

IVELISSE M ORTIZ
Pharmacist, Pharmacies - Pharmacist
License number
5302030967
Date granted
10/22/1996
Date expires
06/30/1999
Class
Pharmacist, Pharmacies - Pharmacist
Status
Lapsed
Address
Farmington Hills, MI 48336
michiganlicensing.org
ID 25901299
LAST UPDATED 2024-02-20 08:26:01 UTC

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