License holder summary

Karen Dominique Mallare Burgos is a Pharmacy Intern licensed to practice in Indiana. The address on file for Karen Dominique Mallare Burgos is Dyer IN 46311. This licensed professional license is not current. The license was granted 10/15/2010 and expired on 05/01/2015.

Indiana

Professional Licensing Agency

Karen Dominique Mallare Burgos
Pharmacy Intern
License number
45016707A
Date granted
10/15/2010
Date expires
05/01/2015
Class
Pharmacy Intern
Status
Superceded
Address
Dyer IN 46311
indianalicensing.org
ID 8302735
LAST UPDATED 2024-02-17 11:42:42 UTC

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