AMIYAH MONAE BASS - Pharmacist License in Illinois | # 049269057

AMIYAH MONAE BASS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269057

License Status

NOT RENEWED

Business

N

First Name

AMIYAH

Middle

MONAE

Last Name

BASS

Business Name

AMIYAH MONAE BASS

Original Issue Date

11/06/2019

Effective Date

11/06/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021