LETICIA H BAUTISTA - Pharmacist License in Illinois | # 049059448

LETICIA H BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059448

License Status

NOT RENEWED

Business

N

First Name

LETICIA

Middle

H

Last Name

BAUTISTA

Business Name

LETICIA H BAUTISTA

Original Issue Date

05/07/1973

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007