JANIS MARIE BASS - Pharmacist License in Illinois | # 049057844

JANIS MARIE BASS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057844

License Status

NOT RENEWED

Business

N

First Name

JANIS MARIE

Last Name

BASS

Business Name

JANIS MARIE BASS

Original Issue Date

06/10/1972

Effective Date

06/10/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005