License holder summary

ELIZABETH SURYAATMAJA is a Pharmacy Intern licensed to practice in Indiana. The address on file for ELIZABETH SURYAATMAJA is WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 01/25/1999 and expired on 05/01/2004.

Indiana

Professional Licensing Agency

ELIZABETH SURYAATMAJA
Pharmacy Intern
License number
45011591A
Date granted
01/25/1999
Date expires
05/01/2004
Class
Pharmacy Intern
Status
Expired
Address
WEST LAFAYETTE IN 47906
indianalicensing.org
ID 8309527
LAST UPDATED 2026-05-08 11:45:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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