LETICIA H BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059448

License Status

NOT RENEWED

Business

First Name

LETICIA

Middle

Last Name

BAUTISTA

Business Name

LETICIA H BAUTISTA

Original Issue Date

05/07/1973

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007