License holder summary

JAY IVES LA BOURENE is a Pharmacy - Cs 1 licensed to practice in Michigan.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

JAY IVES LA BOURENE
Pharmacy - Cs 1
License number
4301059744
Date expires
06/30/1994
Class
Pharmacy - Cs 1
Status
Lapsed
Address
michiganpharmacists.net
ID 39155024
LAST UPDATED 2026-05-13 10:58:44 UTC

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