DELIA ROSE BASTOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276122

License Status

NOT RENEWED

Business

First Name

DELIA

Middle

ROSE

Last Name

BASTOW

Business Name

DELIA ROSE BASTOW

Original Issue Date

09/25/2020

Effective Date

06/21/2022

Expiration Date

03/31/2023

City

WAUCONDA

State

Zip

60084

County

ADAMS

Ever Disciplined

LastModifiedDate

09/07/2023