License holder summary

BIOFORM MEDICAL INC is a Pharmacy - Wholesale Drug Distributor licensed to practice in Montana. The address on file for BIOFORM MEDICAL INC is FRANKSVILLE WI 53126. This licensed professional license is not current. The license was granted 12/10/2009 and expired on 11/30/2010.

Montana

Department of Labor and Industry

BIOFORM MEDICAL INC
Pharmacy - Wholesale Drug Distributor
License number
PHA-WDD-LIC-2710
Date granted
12/10/2009
Date expires
11/30/2010
Class
Pharmacy - Wholesale Drug Distributor
Status
Terminated
Address
FRANKSVILLE WI 53126
licensingmt.com
ID 20350721
LAST UPDATED 2024-02-06 20:32:59 UTC

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