Indiana
Professional Licensing Agency
Purdue University/Polly Burkhardt
Pharmacy Board - Csr
License number
61100487B
Date granted
09/28/2004
Date expires
12/31/2007
Class
Pharmacy Board - Csr
Status
Closed Facility
Address
190 S Russel St, West Lafayette IN 47907-1392
indianalicensing.org
ID 24880610
LAST UPDATED 2024-04-22 20:47:15 UTC
LAST UPDATED 2024-04-22 20:47:15 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.