MICHELLE BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218838

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

BAUTISTA

Business Name

MICHELLE BAUTISTA

Original Issue Date

06/18/2013

Effective Date

06/18/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014