MARZENA A BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171337

License Status

NOT RENEWED

Business

First Name

MARZENA

Middle

Last Name

BAUTISTA

Business Name

MARZENA A BAUTISTA

Original Issue Date

09/14/2006

Effective Date

09/14/2006

Expiration Date

03/31/2007

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007