MICHAEL BASTA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051306909

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

BASTA

Business Name

MICHAEL BASTA

Original Issue Date

03/06/2025

Effective Date

03/03/2026

Expiration Date

03/31/2028

City

BLUE ISLAND

State

Zip

60406

Ever Disciplined

LastModifiedDate

03/03/2026