License holder summary

BRIAN M FONSECA is a Pharmacy - Cs 1 licensed to practice in Michigan. This pharmacist license is not current. The license was granted 06/18/2004 and expired on 06/30/2007.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

BRIAN M FONSECA
Pharmacy - Cs 1
License number
5315018083
Date granted
06/18/2004
Date expires
06/30/2007
Class
Pharmacy - Cs 1
Status
Lapsed
Address
michiganpharmacists.net
ID 39149679
LAST UPDATED 2024-03-05 10:15:36 UTC

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