License holder summary

David Lee Phoenix is a Pharmacy Technician licensed to practice in Indiana. The address on file for David Lee Phoenix is Selma IN 47383. This licensed professional license is not current. The license was granted 11/10/2004 and expired on 06/30/2006.

Indiana

Professional Licensing Agency

David Lee Phoenix
Pharmacy Technician
License number
67007072A
Date granted
11/10/2004
Date expires
06/30/2006
Class
Pharmacy Technician
Status
Revoked
Address
Selma IN 47383
indianalicensing.org
ID 8356489
LAST UPDATED 2024-03-17 01:29:29 UTC

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