DANA L BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157872

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

BASS

Business Name

DANA L BASS

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

03/31/2005

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005