License holder summary

BLAKE EDWARD WIESE is a Pharmacy - Cs 2 licensed to practice in Michigan. This pharmacist license is current. The license was granted 06/16/2014 and expired on 12/31/2016.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

BLAKE EDWARD WIESE
Pharmacy - Cs 2
License number
5315066766
Date granted
06/16/2014
Date expires
12/31/2016
Class
Pharmacy - Cs 2
Status
Active
Address
michiganpharmacists.net
ID 39173099
LAST UPDATED 2024-04-22 12:10:45 UTC

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