KARLA RENEE BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122957

License Status

NOT RENEWED

Business

First Name

KARLA

Middle

RENEE

Last Name

BASS

Business Name

KARLA RENEE BASS

Original Issue Date

09/25/1998

Effective Date

09/25/1998

Expiration Date

03/31/2000

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005