PATRICK J BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221558

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

BAUTISTA

Prefix

Business Name

PATRICK J BAUTISTA

Original Issue Date

10/21/2013

Effective Date

10/21/2013

Expiration Date

03/31/2014

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014