RACQUEL A BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112070

License Status

NOT RENEWED

Business

First Name

RACQUEL A

Last Name

BAUTISTA

Business Name

RACQUEL A BAUTISTA

Original Issue Date

10/12/1995

Effective Date

10/12/1995

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005