LAURA J BASCOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134931

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

BASCOM

Business Name

LAURA J BASCOM

Original Issue Date

03/05/2001

Effective Date

03/05/2001

Expiration Date

03/31/2003

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

08/03/2018