MISCHA DENISE BASSETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146379

License Status

NOT RENEWED

Business

First Name

MISCHA

Middle

DENISE

Last Name

BASSETT

Business Name

MISCHA DENISE BASSETT

Original Issue Date

12/16/2002

Effective Date

12/16/2002

Expiration Date

03/31/2004

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/20/2005