Indiana
Professional Licensing Agency
Lisa Jane Russell
Pharmacist
License number
26020056A
Date granted
10/25/1999
Date expires
06/30/2012
Class
Pharmacist
Status
Expired
Address
Bloomington IN 47401
indianalicensing.org
ID 8289379
LAST UPDATED 2024-02-08 14:59:36 UTC
LAST UPDATED 2024-02-08 14:59:36 UTC
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