SOFIA CARBAJAL BAUTISTA - Pharmacist License in Illinois | # 049267613

SOFIA CARBAJAL BAUTISTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267613

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022