MICHAEL D TIBERG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037863

License Status

INACTIVE

Business

First Name

MICHAEL D

Last Name

TIBERG

Business Name

MICHAEL D TIBERG

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

03/31/1992

City

TRAVERSE CITY

State

Zip

49684

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005