THEODORE L BASTAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300863

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

BASTAS

Business Name

THEODORE L BASTAS

Original Issue Date

03/22/2023

Effective Date

03/22/2023

Expiration Date

03/31/2024

City

SHOREWOOD

State

Zip

60404

Ever Disciplined

LastModifiedDate

01/03/2025