License holder summary

PERMPORN VANASUPA is a Pharmacist, Pharmacies - Drug Control Location licensed to practice in Michigan. The address on file for PERMPORN VANASUPA is New Baltimore, MI 48098.

Michigan

Department of Licensing and Regulation

PERMPORN VANASUPA
Pharmacist, Pharmacies - Drug Control Location
License number
4301032135
Date expires
01/31/1999
Class
Pharmacist, Pharmacies - Drug Control Location
Status
Lapsed
Address
New Baltimore, MI 48098
michiganlicensing.org
ID 25931173
LAST UPDATED 2026-06-16 19:38:43 UTC

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