Michigan
Department of Licensing and Regulation
JAMI LOU-MARTIN FOREBACK
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
License number
5304000714
Date granted
07/20/2010
Date expires
06/30/2013
Class
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
Status
Lapsed
Address
Flint, MI 48532
michiganlicensing.org
ID 25919208
LAST UPDATED 2024-03-17 01:04:11 UTC
LAST UPDATED 2024-03-17 01:04:11 UTC
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