License holder summary

LISA DIANE MONTGOMERY is a Pharmacy Intern licensed to practice in Indiana. The address on file for LISA DIANE MONTGOMERY is PLAINFIELD IN 46168. This licensed professional license is not current. The license was granted 06/04/1997 and expired on 06/04/2003.

Indiana

Professional Licensing Agency

LISA DIANE MONTGOMERY
Pharmacy Intern
License number
45011112A
Date granted
06/04/1997
Date expires
06/04/2003
Class
Pharmacy Intern
Status
Expired
Address
PLAINFIELD IN 46168
indianalicensing.org
ID 8308258
LAST UPDATED 2024-04-30 07:59:17 UTC

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