DERRICK ANTHONY MACKAVICH
Pharmacist, Pharmacies - Cs 3
Michigan 5315016607 Lapsed
This Michigan license was held by DERRICK ANTHONY MACKAVICH. The license is no longer active. It was granted on 01/16/2004 and expired on 12/31/2010
LICENSE DETAILS
- License Number: 5315016607
- Category: CS - 3
- Status: Lapsed
- Date Granted: 01/16/2004 (over 21 years ago)
- Expiry Date: 12/31/2010 (over 14 years ago)
LOCATIONS
A Address
Waterford, MI 48328