License holder summary

Providence Distefano Morris is a Pharmacy - Pharmacist licensed to practice in Massachusetts. The address on file for Providence Distefano Morris is United States, San Diego 92103. This licensed professional license is not current. The license was granted 01/24/1984 and expired on 12/31/2012.

Massachusetts

Division of Professional Licensure

Providence Distefano Morris
Pharmacy - Pharmacist
License number
PH19197
Date granted
01/24/1984
Date expires
12/31/2012
Class
Pharmacy - Pharmacist
Status
Expired
Address
United States
licensingma.org
ID 38567145
LAST UPDATED 2024-05-13 01:18:53 UTC

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