MARIELENA BAUTISTA - Pharmacist License in Illinois | # 049257160

MARIELENA BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257160

License Status

NOT RENEWED

Business

N

First Name

MARIELENA

Last Name

BAUTISTA

Business Name

MARIELENA BAUTISTA

Original Issue Date

03/30/2018

Effective Date

01/28/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022