LOLITA ANN BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116383

License Status

NOT RENEWED

Business

First Name

LOLITA ANN

Last Name

BASS

Business Name

LOLITA ANN BASS

Original Issue Date

01/30/1997

Effective Date

03/06/2012

Expiration Date

03/31/2013

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013