ELIZABETH JANE BAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056048

License Status

NOT RENEWED

Business

First Name

ELIZABETH JANE

Last Name

BAST

Business Name

ELIZABETH JANE BAST

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005