Indiana
Professional Licensing Agency
Purdue University/Mark Cushman
Pharmacy Board - Csr
License number
61100571B
Date granted
04/10/2006
Date expires
12/31/2013
Class
Pharmacy Board - Csr
Status
Closed Facility
Address
575 Stadium Mall Drive, West Lafayette IN 47907
indianalicensing.org
ID 24880597
LAST UPDATED 2024-03-05 06:59:24 UTC
LAST UPDATED 2024-03-05 06:59:24 UTC
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