License holder summary

JOSEPH ISSA BOULLATA is a Pharmacy Intern licensed to practice in Pennsylvania. The address on file for JOSEPH ISSA BOULLATA is PHILADELPHIA PA 19143. This licensed professional license is not current. The license was granted 10/07/1985.

Pennsylvania

Department of State

JOSEPH ISSA BOULLATA
Pharmacy Intern
License number
PI085497L
Date granted
10/07/1985
Class
Pharmacy Intern
Status
Inactive
Address
PHILADELPHIA PA 19143
palicensing.org
ID 17255755
LAST UPDATED 2024-05-07 20:12:13 UTC

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