Diane Bautista
ExpiredIllinois license 049206842
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049206842
- Status
- Expired (Not Renewed)
- First issued
- September 21, 2011
- Expired
- March 31, 2012
- License holder
- Diane Bautista
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/21/2011
Contact
Romeoville, IL 60446
Will County