Indiana
Professional Licensing Agency
Holly Darlene Boutwell
Pharmacy Technician
License number
67016487A
Date granted
09/25/2009
Date expires
06/30/2010
Class
Pharmacy Technician
Status
Revoked
Address
Mooresville IN 46158
indianalicensing.org
ID 8351123
LAST UPDATED 2024-03-12 08:34:58 UTC
LAST UPDATED 2024-03-12 08:34:58 UTC
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