GUSTAVO BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106710

License Status

NOT RENEWED

Business

First Name

GUSTAVO

Last Name

BAUTISTA

Business Name

GUSTAVO BAUTISTA

Original Issue Date

04/26/1994

Effective Date

02/22/2016

Expiration Date

03/31/2017

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/10/2017