License holder summary

DAVID TETSUJI ISHIYAMA is a Pharmacist, Pharmacies - Cs 1 licensed to practice in Michigan. The address on file for DAVID TETSUJI ISHIYAMA is Grand Rapids, MI 49503. This licensed professional license is not current. The license was granted 07/01/2010 and expired on 06/30/2012.

Michigan

Department of Licensing and Regulation

DAVID TETSUJI ISHIYAMA
Pharmacist, Pharmacies - Cs 1
License number
5315045310
Date granted
07/01/2010
Date expires
06/30/2012
Class
Pharmacist, Pharmacies - Cs 1
Status
Lapsed
Address
Grand Rapids, MI 49503
michiganlicensing.org
ID 25936064
LAST UPDATED 2024-04-25 00:58:36 UTC

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