JUAN ALEJANDRO BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269984

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

ALEJANDRO

Last Name

BAUTISTA

Business Name

JUAN ALEJANDRO BAUTISTA

Original Issue Date

12/23/2019

Effective Date

12/23/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021