Utah
Division of Occupational and Professional Licensing
MICHAEL PATRICK VAN WAGENEN
Pharmacy - Pharmacist
License number
500564-1701
Date granted
06/25/2003
Date expires
09/30/2015
Class
Pharmacy - Pharmacist
Status
Active
Address
ALBUQUERQUE, NM 871141539
utahlicensing.org
ID 29886989
LAST UPDATED 2024-04-07 09:56:16 UTC
LAST UPDATED 2024-04-07 09:56:16 UTC
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