ALEC DAVID BASSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213937

License Status

NOT RENEWED

Business

First Name

ALEC

Middle

DAVID

Last Name

BASSEN

Business Name

ALEC DAVID BASSEN

Original Issue Date

10/09/2012

Effective Date

02/06/2014

Expiration Date

03/31/2015

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/11/2015