License holder summary

DIVYA GOUTAM VIJENDRA is a Pharmacist, Pharmacies - Cs 1 licensed to practice in Michigan. The address on file for DIVYA GOUTAM VIJENDRA is Ann Arbor, MI 481090926.

Michigan

Department of Licensing and Regulation

DIVYA GOUTAM VIJENDRA
Pharmacist, Pharmacies - Cs 1
License number
4301076354
Date expires
06/30/2004
Class
Pharmacist, Pharmacies - Cs 1
Status
Lapsed
Address
Ann Arbor, MI 481090926
michiganlicensing.org
ID 25942066
LAST UPDATED 2024-04-30 11:33:48 UTC

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