Indiana
Professional Licensing Agency
Purdue University/Edward L. Bartlett
Pharmacy Board - Csr
License number
61100612B
Date granted
01/27/2007
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
206 S. Martin Jischke Drive, West Lafayette IN 47907
indianalicensing.org
ID 24880535
LAST UPDATED 2026-04-08 09:27:43 UTC
LAST UPDATED 2026-04-08 09:27:43 UTC
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