Indiana
Professional Licensing Agency
Madison Pavillion - Riverside Hospital
Pharmacy Board - Csr
License number
61100790B
Date granted
04/29/2009
Date expires
12/31/2011
Class
Pharmacy Board - Csr
Status
Expired
Address
533 N Niles Ave, South Bend IN 46617
indianalicensing.org
ID 24879925
LAST UPDATED 2024-04-02 15:08:12 UTC
LAST UPDATED 2024-04-02 15:08:12 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.