DIMITRIY BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211479

License Status

NOT RENEWED

Business

First Name

DIMITRIY

Last Name

BASS

Business Name

DIMITRIY BASS

Original Issue Date

06/04/2012

Effective Date

01/11/2013

Expiration Date

03/31/2014

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014