ANTOLIN J BAHENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294710

License Status

NOT RENEWED

Business

First Name

ANTOLIN

Middle

Last Name

BAHENA

Business Name

ANTOLIN J BAHENA

Original Issue Date

08/05/2022

Effective Date

08/05/2022

Expiration Date

03/31/2023

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023