LAURA J BASCOM - Pharmacist License in Illinois | # 049134931

LAURA J BASCOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134931

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

J

Last Name

BASCOM

Business Name

LAURA J BASCOM

Original Issue Date

03/05/2001

Effective Date

03/05/2001

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

08/03/2018