HEIDI A BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187363

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

Last Name

BAUTISTA

Business Name

HEIDI A BAUTISTA

Original Issue Date

09/25/2008

Effective Date

03/11/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

09/29/2022