AIZEL JOY S BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255033

License Status

NOT RENEWED

Business

First Name

AIZEL JOY

Middle

Last Name

BAUTISTA

Business Name

AIZEL JOY S BAUTISTA

Original Issue Date

12/14/2017

Effective Date

03/26/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021