Michigan
Department of Licensing and Regulation
IRA HYMON MICKELSON
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
License number
5304000730
Date granted
07/20/2010
Date expires
06/30/2013
Class
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
Status
Lapsed
Address
Troy, MI 48084
michiganlicensing.org
ID 25920070
LAST UPDATED 2026-03-19 11:41:33 UTC
LAST UPDATED 2026-03-19 11:41:33 UTC
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