DEBORA ANN BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123613

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005