License holder summary

JACK GARY MODELL is a Pharmacy - Cs 3 licensed to practice in Michigan.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

JACK GARY MODELL
Pharmacy - Cs 3
License number
4301051948
Date expires
01/31/1997
Class
Pharmacy - Cs 3
Status
Lapsed
Address
michiganpharmacists.net
ID 39193692
LAST UPDATED 2026-03-21 14:40:03 UTC

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