GRACE GEMMA PARK - Pharmacist License in Minnesota | # 051030308

GRACE GEMMA PARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030308

License Status

NOT RENEWED

Business

N

First Name

GRACE GEMMA

Last Name

PARK

Business Name

GRACE GEMMA PARK

Original Issue Date

01/29/1975

Effective Date

01/29/1975

Expiration Date

01/01/1997

State

MN

Ever Disciplined

N

LastModifiedDate

10/17/2005