RAYMOND A BASSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051018811

License Status

NOT RENEWED

Business

First Name

RAYMOND A

Last Name

BASSO

Business Name

RAYMOND A BASSO

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

INDIANAPOLIS

State

Zip

46234

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005