SHANNETTA JOYCE BASS - Pharmacist License in Illinois | # 049174101

SHANNETTA JOYCE BASS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174101

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008