DEBRA C BASS - Pharmacist License in Illinois | # 049064316

DEBRA C BASS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064316

License Status

NOT RENEWED

Business

N

First Name

DEBRA C

Last Name

BASS

Business Name

DEBRA C BASS

Original Issue Date

10/10/1975

Effective Date

10/10/1975

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005