Indiana
Professional Licensing Agency
IOM HEALTH SYSTEM L P
Pharmacy Board - Csr Pharmacy
License number
60004850B
Date granted
10/16/1995
Date expires
12/31/1997
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
3024 FAIRFIELD AVENUE, FORT WAYNE IN 46807
indianalicensing.org
ID 24883423
LAST UPDATED 2026-06-16 11:19:04 UTC
LAST UPDATED 2026-06-16 11:19:04 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.