LORI M BASS - Pharmacist License in Illinois | # 049110410

LORI M BASS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110410

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

M

Last Name

BASS

Business Name

LORI M BASS

Original Issue Date

05/08/1995

Effective Date

05/08/1995

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005