Indiana
Professional Licensing Agency
Marissa R. Forker
Pharmacy Technician
License number
67023938A
Date granted
12/27/2013
Date expires
06/30/2016
Class
Pharmacy Technician
Status
Active
Address
Kendallville IN 46755
indianalicensing.org
ID 29173533
LAST UPDATED 2026-03-25 00:54:00 UTC
LAST UPDATED 2026-03-25 00:54:00 UTC
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