LAUREN ELIZABETH BASTIDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187885

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

BASTIDA

Business Name

LAUREN ELIZABETH BASTIDA

Original Issue Date

10/22/2008

Effective Date

03/02/2010

Expiration Date

03/31/2011

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

05/12/2011