JUDITH BASEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069279

License Status

NOT RENEWED

Business

First Name

JUDITH

Last Name

BASEL

Business Name

JUDITH BASEL

Original Issue Date

05/05/1978

Effective Date

05/05/1978

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005