JOSE R BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165255

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

BAUTISTA

Business Name

JOSE R BAUTISTA

Original Issue Date

11/29/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007