GRACE ISABEL FORMOLO Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049318238

License Status

ACTIVE

Business

First Name

GRACE

Middle

ISABEL

Last Name

FORMOLO

Business Name

GRACE ISABEL FORMOLO

Original Issue Date

01/27/2025

Effective Date

01/27/2025

Expiration Date

03/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/30/2026