RAQUEL S BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199214

License Status

NOT RENEWED

Business

First Name

RAQUEL

Middle

Last Name

BAUTISTA

Business Name

RAQUEL S BAUTISTA

Original Issue Date

07/06/2010

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/06/2013