ANGELICA JANE SURLA BAUTISTA - Pharmacist License in Illinois | # 049300359

ANGELICA JANE SURLA BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300359

License Status

NOT RENEWED

Business

N

First Name

ANGELICA JANE

Middle

SURLA

Last Name

BAUTISTA

Business Name

ANGELICA JANE SURLA BAUTISTA

Original Issue Date

03/07/2023

Effective Date

03/07/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025