FABIOLA J BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218681

License Status

NOT RENEWED

Business

First Name

FABIOLA

Middle

Last Name

BAUTISTA

Prefix

Business Name

FABIOLA J BAUTISTA

Original Issue Date

06/11/2013

Effective Date

04/26/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022