DANIEL ALEXANDER BASTIAN - Pharmacist License in Illinois | # 049284618

DANIEL ALEXANDER BASTIAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284618

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

ALEXANDER

Last Name

BASTIAN

Business Name

DANIEL ALEXANDER BASTIAN

Original Issue Date

08/10/2021

Effective Date

08/10/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022