Indiana
Professional Licensing Agency
Interventional Pain Management LLC
Pharmacy Board - Csr
License number
61101164B
Date granted
12/17/2013
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
208 Legacy Plaza West, La Porte IN 46350
indianalicensing.org
ID 24878427
LAST UPDATED 2024-04-13 14:34:08 UTC
LAST UPDATED 2024-04-13 14:34:08 UTC
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