License holder summary

JUSTIN SHAYNE FANNING is a Pharmacist, Pharmacies - Cs 1 licensed to practice in Michigan. The address on file for JUSTIN SHAYNE FANNING is Grand Rapids, MI 49546.

Michigan

Department of Licensing and Regulation

JUSTIN SHAYNE FANNING
Pharmacist, Pharmacies - Cs 1
License number
4301074884
Date expires
06/30/2002
Class
Pharmacist, Pharmacies - Cs 1
Status
Lapsed
Address
Grand Rapids, MI 49546
michiganlicensing.org
ID 25934139
LAST UPDATED 2024-04-15 02:01:03 UTC

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