MICHAEL BASTA - Pharmacist License in Illinois | # 049264564

MICHAEL BASTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264564

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

BASTA

Business Name

MICHAEL BASTA

Original Issue Date

04/15/2019

Effective Date

03/21/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025