ELPEDIO BASA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030781

License Status

INACTIVE

Business

First Name

ELPEDIO

Last Name

BASA

Business Name

ELPEDIO BASA

Original Issue Date

02/10/1976

Effective Date

02/10/1976

Expiration Date

03/31/1986

City

ANACORTES

State

Zip

98221

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/17/2005