JENNIFER RAE BASDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153631

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

RAE

Last Name

BASDEN

Business Name

JENNIFER RAE BASDEN

Original Issue Date

03/15/2004

Effective Date

03/15/2004

Expiration Date

03/31/2005

City

PALOS PARK

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005