Indiana
Professional Licensing Agency
Purdue University - Russell Main
Pharmacy Board - Csr
License number
61100978B
Date granted
07/14/2011
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
625 Harrison St, West Lafayette IN 47907
indianalicensing.org
ID 24880470
LAST UPDATED 2024-03-17 08:45:15 UTC
LAST UPDATED 2024-03-17 08:45:15 UTC
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