JUAN ALEJANDRO BAUTISTA - Pharmacist License in Illinois | # 049269984

JUAN ALEJANDRO BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269984

License Status

NOT RENEWED

Business

N

First Name

JUAN

Middle

ALEJANDRO

Last Name

BAUTISTA

Business Name

JUAN ALEJANDRO BAUTISTA

Original Issue Date

12/23/2019

Effective Date

12/23/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021