JACQUELINE JUSAY BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253442

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

JUSAY

Last Name

BAUTISTA

Business Name

JACQUELINE JUSAY BAUTISTA

Original Issue Date

09/28/2017

Effective Date

09/28/2017

Expiration Date

03/31/2018

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018