STATE STREET PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054008465

License Status

NOT RENEWED

Business

Business Name

STATE STREET PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005