RAFAEL FORMEZA JR - Pharmacist License in New Jersey | # 049119837

RAFAEL FORMEZA JR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119837

License Status

NOT RENEWED

Business

N

First Name

RAFAEL

Last Name

FORMEZA

Suffix

JR

Business Name

RAFAEL FORMEZA JR

Original Issue Date

01/13/1998

Effective Date

01/13/2015

Expiration Date

03/31/2016

State

NJ

Ever Disciplined

N

LastModifiedDate

05/20/2016