BRISA BAUTISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300799

License Status

NOT RENEWED

Business

First Name

BRISA

Last Name

BAUTISTA

Business Name

BRISA BAUTISTA

Original Issue Date

03/22/2023

Effective Date

03/22/2023

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025