License holder summary

CLARENCE LYN NICODEMUS is a Pharmacy - Cs 1 licensed to practice in Michigan. This pharmacist license is not current. The license was granted 06/23/2004 and expired on 06/30/2008.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

CLARENCE LYN NICODEMUS
Pharmacy - Cs 1
License number
5315018254
Date granted
06/23/2004
Date expires
06/30/2008
Class
Pharmacy - Cs 1
Status
Lapsed
Address
michiganpharmacists.net
ID 39157945
LAST UPDATED 2024-01-10 11:26:56 UTC

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