BEVERLY BASS BROTTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081435

License Status

NOT RENEWED

Business

First Name

BEVERLY

Last Name

BASS BROTTMAN

Business Name

BEVERLY BASS BROTTMAN

Original Issue Date

07/30/1985

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007