Indiana
Professional Licensing Agency
Great Lakes Medical Supply, LLC
Pharmacy Board - Home Medical Equip Service Provider
License number
69000810A
Date granted
08/18/2011
Date expires
12/31/2013
Class
Pharmacy Board - Home Medical Equip Service Provider
Status
Expired
Address
23247 Pinewoodd Street, Warren MI 48091
indianalicensing.org
ID 24893103
LAST UPDATED 2024-02-21 12:20:45 UTC
LAST UPDATED 2024-02-21 12:20:45 UTC
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