GRACE GEMMA PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030308

License Status

NOT RENEWED

Business

First Name

GRACE GEMMA

Last Name

PARK

Business Name

GRACE GEMMA PARK

Original Issue Date

01/29/1975

Effective Date

01/29/1975

Expiration Date

01/01/1997

City

ST PAUL

State

Zip

55108

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005