License holder summary

FORT WAYNE OTOLARYNGOLOGY L L C is a Pharmacy Board - Csr licensed to practice in Indiana. The address on file for FORT WAYNE OTOLARYNGOLOGY L L C is 2730 E STATE BLVD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 02/29/1996 and expired on 12/31/2009.

Indiana

Professional Licensing Agency

FORT WAYNE OTOLARYNGOLOGY L L C
Pharmacy Board - Csr
License number
61100216B
Date granted
02/29/1996
Date expires
12/31/2009
Class
Pharmacy Board - Csr
Status
Expired
Address
2730 E STATE BLVD, FORT WAYNE IN 46805
indianalicensing.org
ID 24876876
LAST UPDATED 2024-04-26 12:22:29 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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