ROBYN NICOLE BASSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269048

License Status

NOT RENEWED

Business

First Name

ROBYN

Middle

NICOLE

Last Name

BASSE

Business Name

ROBYN NICOLE BASSE

Original Issue Date

11/06/2019

Effective Date

11/06/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021