SARA FLORENCE BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126582

License Status

NOT RENEWED

Business

First Name

SARA

Middle

FLORENCE

Last Name

BASS

Business Name

SARA FLORENCE BASS

Original Issue Date

07/02/1999

Effective Date

07/02/1999

Expiration Date

03/31/2003

City

WALNUT

State

Zip

61376

Ever Disciplined

LastModifiedDate

10/20/2005