Indiana
Professional Licensing Agency
Purdue University/Judy Hallett
Pharmacy Board - Csr
License number
61100497B
Date granted
01/12/2005
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
1203 West State Street, West Lafayette IN 47907
indianalicensing.org
ID 24880571
LAST UPDATED 2026-05-04 04:32:54 UTC
LAST UPDATED 2026-05-04 04:32:54 UTC
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