ADRIAN BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221063

License Status

NOT RENEWED

Business

First Name

ADRIAN

Last Name

BAUTISTA

Business Name

ADRIAN BAUTISTA

Original Issue Date

09/25/2013

Effective Date

04/03/2014

Expiration Date

03/31/2015

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2015