DEANNA LYNN BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146983

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

LYNN

Last Name

BASS

Business Name

DEANNA LYNN BASS

Original Issue Date

02/13/2003

Effective Date

02/13/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005