PATRICK L BAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116073

License Status

NOT RENEWED

Business

First Name

PATRICK L

Last Name

BAST

Business Name

PATRICK L BAST

Original Issue Date

11/28/1996

Effective Date

11/28/1996

Expiration Date

03/31/1997

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005