JAN M BASSALI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111175

License Status

NOT RENEWED

Business

First Name

JAN

Middle

Last Name

BASSALI

Business Name

JAN M BASSALI

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

03/31/2003

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005