ELENITA DE JESUS BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153219

License Status

NOT RENEWED

Business

First Name

ELENITA

Middle

DE JESUS

Last Name

BAUTISTA

Business Name

ELENITA DE JESUS BAUTISTA

Original Issue Date

02/09/2004

Effective Date

02/18/2015

Expiration Date

03/31/2016

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016