Indiana
Professional Licensing Agency
Purdue University - Richard Van Rijn
Pharmacy Board - Csr
License number
61101172B
Date granted
01/29/2014
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
575 Stadium Mall Dr, West Lafayette IN 47907
indianalicensing.org
ID 24880466
LAST UPDATED 2026-04-29 07:07:10 UTC
LAST UPDATED 2026-04-29 07:07:10 UTC
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