License holder summary

JASON ROBERT DE VAULT is a Pharmacist licensed to practice in Indiana. The address on file for JASON ROBERT DE VAULT is WEST LAFAYETTE IN 47906. This licensed professional license is current. The license was granted 08/03/1998 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

JASON ROBERT DE VAULT
Pharmacist
License number
26019562A
Date granted
08/03/1998
Date expires
06/30/2016
Class
Pharmacist
Status
Active
Address
WEST LAFAYETTE IN 47906
indianalicensing.org
ID 8300212
LAST UPDATED 2024-04-01 23:56:43 UTC

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