ELENITA DE JESUS BAUTISTA - Pharmacist License in Illinois | # 049153219

ELENITA DE JESUS BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153219

License Status

NOT RENEWED

Business

N

First Name

ELENITA

Middle

DE JESUS

Last Name

BAUTISTA

Business Name

ELENITA DE JESUS BAUTISTA

Original Issue Date

02/09/2004

Effective Date

02/18/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016