Indiana
Professional Licensing Agency
JEFFREY L BLACK
Pharmacist
License number
26091903A
Date granted
09/14/1982
Date expires
06/30/1984
Class
Pharmacist
Status
Expired Non-Renewable
Address
BLOOMINGTON IN 47401
indianalicensing.org
ID 8289347
LAST UPDATED 2024-03-30 23:56:46 UTC
LAST UPDATED 2024-03-30 23:56:46 UTC
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