ULYSSES BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254707

License Status

NOT RENEWED

Business

First Name

ULYSSES

Last Name

BAUTISTA

Business Name

ULYSSES BAUTISTA

Original Issue Date

12/01/2017

Effective Date

01/22/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019