License holder summary

Broadwest Specialty Surgical Center, LLC is a Pharmacy Board - Csr licensed to practice in Indiana. The address on file for Broadwest Specialty Surgical Center, LLC is 315 W 89TH AVENUECTR, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 12/31/2003.

Indiana

Professional Licensing Agency

Broadwest Specialty Surgical Center, LLC
Pharmacy Board - Csr
License number
61002019B
Date granted
02/28/1986
Date expires
12/31/2003
Class
Pharmacy Board - Csr
Status
Expired
Address
315 W 89TH AVENUECTR, MERRILLVILLE IN 46410
indianalicensing.org
ID 24878738
LAST UPDATED 2024-02-13 13:06:23 UTC

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