License holder summary

FORT WAYNE TREATMENT CENTER INC is a Pharmacy Board - Csr licensed to practice in Indiana. The address on file for FORT WAYNE TREATMENT CENTER INC is 4666 W JEFFERSON BLVD, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 12/08/1997 and expired on 12/31/2001.

Indiana

Professional Licensing Agency

FORT WAYNE TREATMENT CENTER INC
Pharmacy Board - Csr
License number
61100254B
Date granted
12/08/1997
Date expires
12/31/2001
Class
Pharmacy Board - Csr
Status
Closed Facility
Address
4666 W JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 24876896
LAST UPDATED 2024-04-25 02:06:05 UTC

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