ALICIA BAUTISTA - Pharmacist License in Illinois | # 049194339

ALICIA BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194339

License Status

NOT RENEWED

Business

N

First Name

ALICIA

Last Name

BAUTISTA

Prefix

MR

Business Name

ALICIA BAUTISTA

Original Issue Date

09/18/2009

Effective Date

09/18/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010