KACEY HELENA PROVENZANO
Pharmacy - Cs 1
Michigan 5315067234 Lapsed
This Michigan license was held by KACEY HELENA PROVENZANO. The license is no longer active. It was granted on 06/30/2014 and expired on 06/30/2015
LICENSE DETAILS
- License Number: 5315067234
- Category: CS - 1
- Status: Lapsed
- Date Granted: 06/30/2014 (almost 10 years ago)
- Expiry Date: 06/30/2015 (almost 9 years ago)