AMIYAH MONAE BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269057

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021