HALEY BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283130

License Status

NOT RENEWED

Business

First Name

HALEY

Last Name

BAUTISTA

Business Name

HALEY BAUTISTA

Original Issue Date

06/11/2021

Effective Date

06/11/2021

Expiration Date

05/31/2022

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022