MICHAEL S LASALLE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032789

License Status

INACTIVE

Business

First Name

MICHAEL S

Last Name

LASALLE

Business Name

MICHAEL S LASALLE

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

03/31/1986

City

THIEF RIVER FALLS

State

Zip

56701

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2005