Michigan
Department of Licensing and Regulation
MICHAEL WILLARD WIXOM
Pharmacist, Pharmacies - Pharmacist Ed Ltd
License number
5302027728
Date granted
05/22/1989
Date expires
05/22/1994
Class
Pharmacist, Pharmacies - Pharmacist Ed Ltd
Status
Lapsed
Address
Madison, WI 53705
michiganlicensing.org
ID 25909706
LAST UPDATED 2026-05-31 15:41:36 UTC
LAST UPDATED 2026-05-31 15:41:36 UTC
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