STEVEN MARTIN BASIAGO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288852

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

MARTIN

Last Name

BASIAGO

Business Name

STEVEN MARTIN BASIAGO

Original Issue Date

06/20/2002

Effective Date

02/25/2022

Expiration Date

03/31/2024

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

02/05/2025