AMELIA R BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062011

License Status

NOT RENEWED

Business

First Name

AMELIA R

Last Name

BAUTISTA

Business Name

AMELIA R BAUTISTA

Original Issue Date

08/02/1974

Effective Date

08/02/1974

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005