DALLAS CLAYTON BASINGER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160712

License Status

INACTIVE

Business

First Name

DALLAS

Middle

CLAYTON

Last Name

BASINGER

Business Name

DALLAS CLAYTON BASINGER

Original Issue Date

05/03/2005

Effective Date

03/07/2011

Expiration Date

03/31/2012

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

01/12/2012