JOBANI ANTONIO BUSTAMANTE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305744

License Status

ACTIVE

Business

First Name

JOBANI

Middle

ANTONIO

Last Name

BUSTAMANTE

Business Name

JOBANI ANTONIO BUSTAMANTE

Original Issue Date

09/11/2023

Effective Date

01/28/2025

Expiration Date

03/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/30/2026