Indiana
Professional Licensing Agency
IUSM-SB Harper Hall, Velazquez Lab - Peter Velazquez
Pharmacy Board - Csr
License number
61100887B
Date granted
04/20/2010
Date expires
12/31/2013
Class
Pharmacy Board - Csr
Status
Expired
Address
1234 Notre Dame Ave. RM 128, South Bend IN 46617
indianalicensing.org
ID 24879919
LAST UPDATED 2026-04-18 07:34:00 UTC
LAST UPDATED 2026-04-18 07:34:00 UTC
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