PHILINDIA BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239043

License Status

NOT RENEWED

Business

First Name

PHILINDIA

Last Name

BASS

Prefix

Business Name

PHILINDIA BASS

Original Issue Date

01/22/2016

Effective Date

01/22/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017