MARGIE E BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153374

License Status

NOT RENEWED

Business

First Name

MARGIE

Middle

Last Name

BASS

Business Name

MARGIE E BASS

Original Issue Date

03/01/2004

Effective Date

03/01/2004

Expiration Date

03/31/2005

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

10/20/2005