DANIELLE LEE FORMELLA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125788

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

LEE

Last Name

FORMELLA

Business Name

DANIELLE LEE FORMELLA

Original Issue Date

05/07/1999

Effective Date

03/10/2026

Expiration Date

03/31/2027

City

HAMMOND

State

Zip

46327

County

INDIANA

Ever Disciplined

LastModifiedDate

03/10/2026