JACOB S BASSIG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124863

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

BASSIG

Business Name

JACOB S BASSIG

Original Issue Date

03/01/1999

Effective Date

03/01/1999

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005