TRISTAN DYAN BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265864

License Status

NOT RENEWED

Business

First Name

TRISTAN

Middle

DYAN

Last Name

BAUTISTA

Business Name

TRISTAN DYAN BAUTISTA

Original Issue Date

06/06/2019

Effective Date

11/12/2024

Expiration Date

03/31/2025

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/08/2025