DEBORA ANN BASS - Pharmacist License in Illinois | # 049123613

DEBORA ANN BASS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123613

License Status

NOT RENEWED

Business

N

First Name

DEBORA

Middle

ANN

Last Name

BASS

Business Name

DEBORA ANN BASS

Original Issue Date

11/09/1998

Effective Date

11/09/1998

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005