TARISAI BASS - Pharmacist License in Illinois | # 049288704

TARISAI BASS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288704

License Status

NOT RENEWED

Business

N

First Name

TARISAI

Last Name

BASS

Business Name

TARISAI BASS

Original Issue Date

12/08/2021

Effective Date

12/08/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022