Indiana
Professional Licensing Agency
Purdue University - Jason Cannon
Pharmacy Board - Csr
License number
61101046B
Date granted
06/08/2012
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
915 W. State St., West Lafayette IN 47907
indianalicensing.org
ID 24880455
LAST UPDATED 2024-04-19 23:50:52 UTC
LAST UPDATED 2024-04-19 23:50:52 UTC
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