SOFIA CARBAJAL BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267613

License Status

NOT RENEWED

Business

First Name

SOFIA

Middle

CARBAJAL

Last Name

BAUTISTA

Business Name

SOFIA CARBAJAL BAUTISTA

Original Issue Date

09/03/2019

Effective Date

01/28/2021

Expiration Date

05/31/2022

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022