Indiana
Professional Licensing Agency
Michael D. Sample
Pharmacy Technician
License number
67002641A
Date granted
11/18/2003
Date expires
06/30/2006
Class
Pharmacy Technician
Status
Expired
Address
Alexandria IN 46001
indianalicensing.org
ID 8333514
LAST UPDATED 2026-03-30 10:53:59 UTC
LAST UPDATED 2026-03-30 10:53:59 UTC
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