Henry A Bautista
ExpiredIllinois license 049089756
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049089756
- Status
- Expired (Not Renewed)
- First issued
- April 25, 1989
- Expired
- March 31, 2004
- License holder
- Henry A Bautista
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/25/1989
Contact
Chicago, IL 60634
Cook County