DIANA REYES BAUTISTA - Pharmacist License in Illinois | # 049109937

DIANA REYES BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109937

License Status

NOT RENEWED

Business

N

First Name

DIANA REYES

Last Name

BAUTISTA

Business Name

DIANA REYES BAUTISTA

Original Issue Date

03/29/1995

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007