PORTLAND PROFESSIONAL PHARMACY Pharmacist License verification

Business Entity

CLOSED

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****59

License Status

CLOSED

Business

Business Name

PORTLAND PROFESSIONAL PHARMACY

Original Issue Date

11/18/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SOUTH PORTLAND

State

Zip

04106

County

MAINE

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2010