TRISTAN DYAN BAUTISTA - Pharmacist License in Illinois | # 049265864

TRISTAN DYAN BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265864

License Status

NOT RENEWED

Business

N

First Name

TRISTAN

Middle

DYAN

Last Name

BAUTISTA

Business Name

TRISTAN DYAN BAUTISTA

Original Issue Date

06/06/2019

Effective Date

11/12/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025