DANIEL ALEXANDER BASTIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284618

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022