Michael Paul Formella
ExpiredIllinois license 049121351
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049121351
- Status
- Expired (Not Renewed)
- First issued
- June 8, 1998
- Expired
- March 31, 1999
- License holder
- Michael Paul Formella
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/08/1998
Contact
Orland Park, IL 60462
Cook County