License holder summary

KELTSCH EAST STATE STREET PHARMACY is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for KELTSCH EAST STATE STREET PHARMACY is 3121 EAST STATE BLVD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 06/03/1991 and expired on 12/31/1999.

Indiana

Professional Licensing Agency

KELTSCH EAST STATE STREET PHARMACY
Pharmacy Board - Csr Pharmacy
License number
60004087B
Date granted
06/03/1991
Date expires
12/31/1999
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
3121 EAST STATE BLVD, FORT WAYNE IN 46805
indianalicensing.org
ID 24883452
LAST UPDATED 2024-04-22 15:02:40 UTC

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