Indiana
Professional Licensing Agency
Indiana State Outside
Pharmacy Board - Csr
License number
61100703B
Date granted
06/24/2008
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
201 Woodlawn Avenue, Michigan City IN 46360
indianalicensing.org
ID 24878786
LAST UPDATED 2026-04-12 10:47:34 UTC
LAST UPDATED 2026-04-12 10:47:34 UTC
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