Indiana
Professional Licensing Agency
JACK H KOOPMAN
Pharmacist
License number
26091819A
Date granted
12/15/1980
Date expires
06/30/2006
Class
Pharmacist
Status
Expired Non-Renewable
Address
LAFAYETTE IN 47909
indianalicensing.org
ID 8295513
LAST UPDATED 2024-02-24 06:36:54 UTC
LAST UPDATED 2024-02-24 06:36:54 UTC
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