License holder summary

NORTHEAST IND KIDNEY CENTER/CAPD is a Pharmacy Board - Csr licensed to practice in Indiana. The address on file for NORTHEAST IND KIDNEY CENTER/CAPD is 7910 WEST JEFFERSON BLVD #L10, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 05/15/1991 and expired on 12/31/1997.

Indiana

Professional Licensing Agency

NORTHEAST IND KIDNEY CENTER/CAPD
Pharmacy Board - Csr
License number
61100045B
Date granted
05/15/1991
Date expires
12/31/1997
Class
Pharmacy Board - Csr
Status
Expired
Address
7910 WEST JEFFERSON BLVD #L10, FORT WAYNE IN 46804
indianalicensing.org
ID 24876942
LAST UPDATED 2024-02-22 03:07:16 UTC

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