CELESTE A BASOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061581

License Status

NOT RENEWED

Business

First Name

CELESTE A

Last Name

BASOM

Business Name

CELESTE A BASOM

Original Issue Date

05/29/1974

Effective Date

05/29/1974

Expiration Date

03/31/2003

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005