Diana Reyes Bautista
ExpiredIllinois license 049109937
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049109937
- Status
- Expired (Not Renewed)
- First issued
- March 29, 1995
- Expired
- March 31, 2007
- License holder
- Diana Reyes Bautista
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/19/2006
Contact
Rockford, IL 61101
Winnebago County