MICHAEL BASTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264564

License Status

NOT RENEWED

Business

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

City

BLUE ISLAND

State

Zip

60406

Ever Disciplined

LastModifiedDate

07/08/2025