Indiana
Professional Licensing Agency
Lacie Anne Fanning
Pharmacy Technician
License number
67005094A
Date granted
12/23/2003
Date expires
06/30/2006
Class
Pharmacy Technician
Status
Expired
Address
Fort Wayne IN 46803
indianalicensing.org
ID 8342074
LAST UPDATED 2024-03-13 18:25:18 UTC
LAST UPDATED 2024-03-13 18:25:18 UTC
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