MATTHEW BAUTISTA TANAWAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051305116

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

BAUTISTA

Last Name

TANAWAN

Business Name

MATTHEW BAUTISTA TANAWAN

Original Issue Date

09/29/2022

Effective Date

02/02/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2026