MICHELLE BAUTISTA - Pharmacist License in Illinois | # 049218838

MICHELLE BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218838

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Last Name

BAUTISTA

Business Name

MICHELLE BAUTISTA

Original Issue Date

06/18/2013

Effective Date

06/18/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014