Indiana
Professional Licensing Agency
QHG OF INDIANA INC
Pharmacy Board - Csr Pharmacy
License number
60004832B
Date granted
07/17/1995
Date expires
12/31/1995
Class
Pharmacy Board - Csr Pharmacy
Status
Expired
Address
3024 FAIRFIELD AVENUE, FORT WAYNE IN 46807
indianalicensing.org
ID 24883605
LAST UPDATED 2026-06-11 05:21:02 UTC
LAST UPDATED 2026-06-11 05:21:02 UTC
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