SHANNETTA JOYCE BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174101

License Status

NOT RENEWED

Business

First Name

SHANNETTA

Middle

JOYCE

Last Name

BASS

Business Name

SHANNETTA JOYCE BASS

Original Issue Date

02/02/2007

Effective Date

02/02/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008