ANGELINA MARIE BAUTISTA - Pharmacist License in Illinois | # 049160374

ANGELINA MARIE BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160374

License Status

NOT RENEWED

Business

N

First Name

ANGELINA

Middle

MARIE

Last Name

BAUTISTA

Business Name

ANGELINA MARIE BAUTISTA

Original Issue Date

04/20/2005

Effective Date

04/20/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006