License holder summary

Indiana University/Tatiana Y. Kostrominova is a Pharmacy Board - Csr licensed to practice in Indiana. The address on file for Indiana University/Tatiana Y. Kostrominova is 3400 Broadway Street, Gary IN 46408. This licensed professional license is current. The license was granted 10/12/2007 and expired on 12/31/2015.

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

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