License holder summary

ETHAN SAMUEL VAN TIL is a Pharmacist, Pharmacies - Drug Control Location licensed to practice in Michigan. The address on file for ETHAN SAMUEL VAN TIL is Traverse City, MI 49684. This licensed professional license is not current. The license was granted 03/05/2003 and expired on 01/31/2010.

Michigan

Department of Licensing and Regulation

ETHAN SAMUEL VAN TIL
Pharmacist, Pharmacies - Drug Control Location
License number
5315012929
Date granted
03/05/2003
Date expires
01/31/2010
Class
Pharmacist, Pharmacies - Drug Control Location
Status
Lapsed
Address
Traverse City, MI 49684
michiganlicensing.org
ID 25931160
LAST UPDATED 2024-02-20 20:43:51 UTC

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