Indiana
Professional Licensing Agency
Rebecca Marie Bormann
Pharmacy Technician
License number
67003237A
Date granted
12/01/2003
Date expires
06/30/2006
Class
Pharmacy Technician
Status
Expired
Address
Fort Wayne IN 46835
indianalicensing.org
ID 8342208
LAST UPDATED 2026-04-12 01:27:47 UTC
LAST UPDATED 2026-04-12 01:27:47 UTC
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