EUGENE BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233913

License Status

NOT RENEWED

Business

First Name

EUGENE

Last Name

BAUTISTA

Business Name

EUGENE BAUTISTA

Original Issue Date

06/21/2015

Effective Date

03/15/2017

Expiration Date

03/31/2018

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

06/19/2018