Indiana
Professional Licensing Agency
KELTSCH PARK LAKE MEDICAL CLINIC
Pharmacy Board - Csr Pharmacy
License number
60002940B
Date granted
04/30/1986
Date expires
12/31/1995
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
2460 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 24883454
LAST UPDATED 2024-04-23 11:43:36 UTC
LAST UPDATED 2024-04-23 11:43:36 UTC
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