License holder summary

PENPORN VONGSVIVUT RECK is a Pharmacy - Cs 1 licensed to practice in Michigan. This pharmacist license is not current. The license was granted 06/24/2002 and expired on 06/30/2006.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

PENPORN VONGSVIVUT RECK
Pharmacy - Cs 1
License number
5315009663
Date granted
06/24/2002
Date expires
06/30/2006
Class
Pharmacy - Cs 1
Status
Lapsed
Address
michiganpharmacists.net
ID 39160269
LAST UPDATED 2024-04-14 20:50:54 UTC

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