CARLOS BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083560

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

BAUTISTA

Business Name

CARLOS BAUTISTA

Original Issue Date

12/16/1986

Effective Date

12/16/1986

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005