MICHAEL D BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242463

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

BASS

Prefix

Business Name

MICHAEL D BASS

Original Issue Date

06/15/2016

Effective Date

01/21/2020

Expiration Date

03/31/2021

City

KINGSTON

State

Zip

18704

Ever Disciplined

LastModifiedDate

07/20/2021