BRIDGET R BASAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196494

License Status

NOT RENEWED

Business

First Name

BRIDGET

Middle

Last Name

BASAN

Prefix

Business Name

BRIDGET R BASAN

Original Issue Date

01/27/2010

Effective Date

03/28/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014