License holder summary

SURAIYA KHANOM AZOM is a Pharmacy - Cs 1 licensed to practice in Michigan. This pharmacist license is not current. The license was granted 07/18/2013.

Department of Licensing and Regulatory Affairs

Board of Pharmacy

SURAIYA KHANOM AZOM
Pharmacy - Cs 1
License number
5315062258
Date granted
07/18/2013
Class
Pharmacy - Cs 1
Status
Lapsed
Address
michiganpharmacists.net
ID 39144641
LAST UPDATED 2024-03-11 03:03:38 UTC

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