Indiana
Professional Licensing Agency
Purdue University/Mark A. Green
Pharmacy Board - Csr
License number
61100470B
Date granted
04/08/2004
Date expires
12/31/2011
Class
Pharmacy Board - Csr
Status
Closed Facility
Address
575 Stadium Mall Dr., West Lafayette IN 47907-2091
indianalicensing.org
ID 24880595
LAST UPDATED 2024-02-13 13:24:30 UTC
LAST UPDATED 2024-02-13 13:24:30 UTC
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