Indiana
Professional Licensing Agency
BLACKBURN, LARRY A
Pharmacy Board - Csr
License number
61100081B
Date granted
08/24/1992
Date expires
12/31/1997
Class
Pharmacy Board - Csr
Status
Expired
Address
297 HILLENDALE DRIVE, GREENWOOD IN 46142
indianalicensing.org
ID 24877283
LAST UPDATED 2026-05-21 07:28:03 UTC
LAST UPDATED 2026-05-21 07:28:03 UTC
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