JORGA LEE BASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296256

License Status

NOT RENEWED

Business

First Name

JORGA

Middle

LEE

Last Name

BASS

Business Name

JORGA LEE BASS

Original Issue Date

09/25/2012

Effective Date

03/14/2014

Expiration Date

03/31/2016

City

RENTON

State

Zip

98056

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

05/20/2016