JACOB S BASSIG - Pharmacist License in Illinois | # 049124863

JACOB S BASSIG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124863

License Status

NOT RENEWED

Business

N

First Name

JACOB

Middle

S

Last Name

BASSIG

Business Name

JACOB S BASSIG

Original Issue Date

03/01/1999

Effective Date

03/01/1999

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005