HENRY A BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089756

License Status

NOT RENEWED

Business

First Name

HENRY A

Last Name

BAUTISTA

Business Name

HENRY A BAUTISTA

Original Issue Date

04/25/1989

Effective Date

04/25/1989

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005