SCOTT D BASS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061103

License Status

CANCELLED

Business

First Name

SCOTT D

Last Name

BASS

Business Name

SCOTT D BASS

Original Issue Date

03/15/1974

Effective Date

03/15/1974

Expiration Date

01/01/1997

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005