BETTY J BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096264

License Status

NOT RENEWED

Business

First Name

BETTY J

Last Name

BASS

Business Name

BETTY J BASS

Original Issue Date

03/22/1991

Effective Date

03/22/1991

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005