Indiana
Professional Licensing Agency
Indiana University/Tatiana Y. Kostrominova
Pharmacy Board - Csr
License number
61100663B
Date granted
10/12/2007
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
3400 Broadway Street, Gary IN 46408
indianalicensing.org
ID 24877141
LAST UPDATED 2024-04-13 16:37:07 UTC
LAST UPDATED 2024-04-13 16:37:07 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.