CHRISTINE MARIE FORMEA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051041249

License Status

INACTIVE

Business

First Name

CHRISTINE MARIE

Last Name

FORMEA

Business Name

CHRISTINE MARIE FORMEA

Original Issue Date

01/03/1997

Effective Date

01/03/1997

Expiration Date

03/31/2000

City

GAINESVILLE

State

Zip

32608

County

FLORIDA

Ever Disciplined

LastModifiedDate

12/06/2005