License holder summary

JACK E VAN ANTWERP is a Pharmacist, Pharmacies - Pharmacist licensed to practice in Michigan. The address on file for JACK E VAN ANTWERP is St Joseph, MI 49085.

Michigan

Department of Licensing and Regulation

JACK E VAN ANTWERP
Pharmacist, Pharmacies - Pharmacist
License number
5302015952
Date expires
06/30/1992
Class
Pharmacist, Pharmacies - Pharmacist
Status
Lapsed
Address
St Joseph, MI 49085
michiganlicensing.org
ID 25902696
LAST UPDATED 2024-04-19 15:38:04 UTC

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