License holder summary

NORTHERN INDIANA STATE DEVELOPMENTAL CTR is a Pharmacy Board - Csr Pharmacy licensed to practice in Indiana. The address on file for NORTHERN INDIANA STATE DEVELOPMENTAL CTR is P O BOX 1995, 1234 NORTH NOTRE DAME, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 08/02/1988 and expired on 12/31/1999.

Indiana

Professional Licensing Agency

NORTHERN INDIANA STATE DEVELOPMENTAL CTR
Pharmacy Board - Csr Pharmacy
License number
60000338B
Date granted
08/02/1988
Date expires
12/31/1999
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
P O BOX 1995, 1234 NORTH NOTRE DAME, SOUTH BEND IN 46617
indianalicensing.org
ID 24888956
LAST UPDATED 2024-04-21 03:15:18 UTC

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