Indiana
Professional Licensing Agency
Indiana University/Kenneth Mackie
Pharmacy Board - Csr
License number
61100652B
Date granted
08/17/2007
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
702 N. Walnut Grove Multidisciplinary Bldg. Rm 142, Bloomington IN 47405
indianalicensing.org
ID 24875916
LAST UPDATED 2024-05-01 06:16:06 UTC
LAST UPDATED 2024-05-01 06:16:06 UTC
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