RAQUEL S BAUTISTA - Pharmacist License in Illinois | # 049199214

RAQUEL S BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199214

License Status

NOT RENEWED

Business

N

First Name

RAQUEL

Middle

S

Last Name

BAUTISTA

Business Name

RAQUEL S BAUTISTA

Original Issue Date

07/06/2010

Effective Date

03/22/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013