PORTLAND PROFESSIONAL PHARMACY Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054015398

License Status

CLOSED

Business

Business Name

PORTLAND PROFESSIONAL PHARMACY

Original Issue Date

11/05/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SOUTH PORTLAND

State

Zip

04106

County

MAINE

Ever Disciplined

LastModifiedDate

05/04/2010