AMY W BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291473

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BASS

Business Name

AMY W BASS

BusinessDBA

WOODS

Original Issue Date

09/12/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010