MARZENA A BAUTISTA - Pharmacist License in Illinois | # 049171337

MARZENA A BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171337

License Status

NOT RENEWED

Business

N

First Name

MARZENA

Middle

A

Last Name

BAUTISTA

Business Name

MARZENA A BAUTISTA

Original Issue Date

09/14/2006

Effective Date

09/14/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007