License holder summary

CHARLENE MOUNSAMRUATH is a Pharmacy Intern licensed to practice in Indiana. The address on file for CHARLENE MOUNSAMRUATH is FORT WAYNE IN 46806. This licensed professional license is not current. The license was granted 03/11/1996 and expired on 03/11/2002.

Indiana

Professional Licensing Agency

CHARLENE MOUNSAMRUATH
Pharmacy Intern
License number
45010701A
Date granted
03/11/1996
Date expires
03/11/2002
Class
Pharmacy Intern
Status
Expired
Address
FORT WAYNE IN 46806
indianalicensing.org
ID 8303530
LAST UPDATED 2024-05-01 19:49:22 UTC

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