THEA THERESE BAUTISTA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263287

License Status

ACTIVE

Business

First Name

THEA

Middle

THERESE

Last Name

BAUTISTA

Business Name

THEA THERESE BAUTISTA

Original Issue Date

02/13/2019

Effective Date

03/13/2026

Expiration Date

03/31/2027

City

PLAINFIELD

State

Zip

60544

Ever Disciplined

LastModifiedDate

03/13/2026