EILEEN MARIE BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278950

License Status

NOT RENEWED

Business

First Name

EILEEN

Middle

MARIE

Last Name

BASS

Business Name

EILEEN MARIE BASS

Original Issue Date

01/25/2021

Effective Date

01/25/2021

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022