Michigan
Department of Licensing and Regulation
KIRANMAYI PENDYALA SURAPANENI
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
License number
5304000672
Date granted
06/21/2010
Date expires
06/30/2011
Class
Pharmacist, Pharmacies - Drug Treatment Program Prescriber
Status
Lapsed
Address
Hazel Park, MI 48030
michiganlicensing.org
ID 25920537
LAST UPDATED 2026-04-29 23:26:29 UTC
LAST UPDATED 2026-04-29 23:26:29 UTC
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