MARIELENA BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257160

License Status

NOT RENEWED

Business

First Name

MARIELENA

Last Name

BAUTISTA

Business Name

MARIELENA BAUTISTA

Original Issue Date

03/30/2018

Effective Date

01/28/2021

Expiration Date

05/31/2022

City

SHOREWOOD

State

Zip

60404

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022