FORMHALS PURITY DRUGSTORE Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054003982

License Status

CLOSED

Business

Business Name

FORMHALS PURITY DRUGSTORE

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005