License holder summary

Lutheran Hospital Surgical Suites at Medical Group of Fort Wayne is a Pharmacy Board - Csr licensed to practice in Indiana. The address on file for Lutheran Hospital Surgical Suites at Medical Group of Fort Wayne is 7916 West Jefferson Boulevard, Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 07/30/2009 and expired on 12/31/2011.

Indiana

Professional Licensing Agency

Lutheran Hospital Surgical Suites at Medical Group of Fort Wayne
Pharmacy Board - Csr
License number
61100845B
Date granted
07/30/2009
Date expires
12/31/2011
Class
Pharmacy Board - Csr
Status
Expired
Address
7916 West Jefferson Boulevard, Fort Wayne IN 46804
indianalicensing.org
ID 24876931
LAST UPDATED 2024-03-06 03:55:26 UTC

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