CEZJAY BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252755

License Status

NOT RENEWED

Business

First Name

CEZJAY

Last Name

BAUTISTA

Business Name

CEZJAY BAUTISTA

Original Issue Date

09/06/2017

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021