License holder summary

Pavel A. Prusakov is a Pharmacist licensed to practice in Indiana. The address on file for Pavel A. Prusakov is Fishers IN 46038. This licensed professional license is current. The license was granted 08/03/2011 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Pavel A. Prusakov
Pharmacist
License number
26024284A
Date granted
08/03/2011
Date expires
06/30/2016
Class
Pharmacist
Status
Active
Address
Fishers IN 46038
indianalicensing.org
ID 8292301
LAST UPDATED 2021-03-31 04:08:28 UTC

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