Indiana
Professional Licensing Agency
Purdue University - Esteban Fernandez-Juricic
Pharmacy Board - Csr
License number
61100969B
Date granted
05/23/2011
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
190 S. Russell Street, West Lafayette IN 47907
indianalicensing.org
ID 24880447
LAST UPDATED 2024-02-22 00:06:43 UTC
LAST UPDATED 2024-02-22 00:06:43 UTC
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