HEATHER P BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156761

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

BAUTISTA

Business Name

HEATHER P BAUTISTA

Original Issue Date

08/18/2004

Effective Date

03/16/2017

Expiration Date

03/31/2018

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

06/19/2018