KENNETH J BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106725

License Status

NOT RENEWED

Business

First Name

KENNETH J

Last Name

BASS

Business Name

KENNETH J BASS

Original Issue Date

04/27/1994

Effective Date

04/27/1994

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005