ARNOLD SAN AUGUSTIN BASA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189558

License Status

NOT RENEWED

Business

First Name

ARNOLD

Middle

SAN AUGUSTIN

Last Name

BASA

Business Name

ARNOLD SAN AUGUSTIN BASA

Original Issue Date

02/09/2009

Effective Date

04/12/2011

Expiration Date

03/31/2012

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012