Department of Licensing and Regulatory Affairs
Board of Pharmacy
LA VERNE W BLANK
Pharmacy - Cs 3
License number
5901000375
Date expires
03/01/1991
Class
Pharmacy - Cs 3
Status
Lapsed
Address
michiganpharmacists.net
ID 39178479
LAST UPDATED 2026-07-09 08:19:55 UTC
LAST UPDATED 2026-07-09 08:19:55 UTC
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