Indiana
Professional Licensing Agency
Purdue Univerity - Stephem Byrn
Pharmacy Board - Csr
License number
61100936B
Date granted
12/01/2010
Date expires
12/31/2011
Class
Pharmacy Board - Csr
Status
Expired
Address
Ste Q, Ross Enterprise Center, 3495 Kent Ave, West Lafayette IN 47906
indianalicensing.org
ID 24880413
LAST UPDATED 2026-04-19 16:30:00 UTC
LAST UPDATED 2026-04-19 16:30:00 UTC
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