License holder summary

JACOB MICHAEL WAIDELICH is a Pharmacy - Cs 1 licensed to practice in Michigan. This pharmacist license is not current. The license was granted 08/01/2005 and expired on 06/30/2009.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

JACOB MICHAEL WAIDELICH
Pharmacy - Cs 1
License number
5315021175
Date granted
08/01/2005
Date expires
06/30/2009
Class
Pharmacy - Cs 1
Status
Lapsed
Address
michiganpharmacists.net
ID 39165382
LAST UPDATED 2024-04-09 14:12:26 UTC

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