Indiana
Professional Licensing Agency
Autumn Clarice Koukal
Pharmacy Technician
License number
67006416A
Date granted
05/07/2004
Date expires
06/30/2008
Class
Pharmacy Technician
Status
Expired
Address
Lafayette IN 47904-1236
indianalicensing.org
ID 8347719
LAST UPDATED 2024-03-01 20:44:36 UTC
LAST UPDATED 2024-03-01 20:44:36 UTC
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