Indiana
Professional Licensing Agency
Indiana State Police Lab II
Pharmacy Board - Csr
License number
61002080B
Date granted
05/31/1986
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
5811 Ellison Rd, Fort Wayne IN 46804
indianalicensing.org
ID 24876898
LAST UPDATED 2024-04-29 23:10:42 UTC
LAST UPDATED 2024-04-29 23:10:42 UTC
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