Indiana
Professional Licensing Agency
Purdue University - Kinam Park
Pharmacy Board - Csr
License number
61101147B
Date granted
09/27/2013
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
206 S Martin Jischke Dr, West Lafayette IN 47906
indianalicensing.org
ID 24880460
LAST UPDATED 2026-04-06 13:35:06 UTC
LAST UPDATED 2026-04-06 13:35:06 UTC
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