ANGELICA JANE SURLA BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300359

License Status

NOT RENEWED

Business

First Name

ANGELICA JANE

Middle

SURLA

Last Name

BAUTISTA

Business Name

ANGELICA JANE SURLA BAUTISTA

Original Issue Date

03/07/2023

Effective Date

03/07/2023

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2025