JOANNA MARIE BAUTISTA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147994

License Status

INACTIVE

Business

First Name

JOANNA

Middle

MARIE

Last Name

BAUTISTA

Business Name

JOANNA MARIE BAUTISTA

Original Issue Date

04/15/2003

Effective Date

03/10/2017

Expiration Date

03/31/2018

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2018