ALICIA BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194339

License Status

NOT RENEWED

Business

First Name

ALICIA

Last Name

BAUTISTA

Prefix

Business Name

ALICIA BAUTISTA

Original Issue Date

09/18/2009

Effective Date

09/18/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010