BRIAN LOUIS BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122815

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

LOUIS

Last Name

BAUTISTA

Business Name

BRIAN LOUIS BAUTISTA

Original Issue Date

09/24/1998

Effective Date

09/24/1998

Expiration Date

03/31/2001

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005