License holder summary

GLEN R SOUTHERTON is a Pharmacist, Pharmacies - Pharmacist licensed to practice in Michigan. The address on file for GLEN R SOUTHERTON is Crossville, TN 38558.

Michigan

Department of Licensing and Regulation

GLEN R SOUTHERTON
Pharmacist, Pharmacies - Pharmacist
License number
5302017083
Date expires
06/30/1998
Class
Pharmacist, Pharmacies - Pharmacist
Status
Lapsed
Address
Crossville, TN 38558
michiganlicensing.org
ID 25902182
LAST UPDATED 2024-05-03 20:28:04 UTC

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