License holder summary

Regina Lee Bousum is a Pharmacy Technician In-Training licensed to practice in Indiana. The address on file for Regina Lee Bousum is Walton IN 46994. This licensed professional license is not current. The license was granted 11/13/2003 and expired on 11/13/2004.

Indiana

Professional Licensing Agency

Regina Lee Bousum
Pharmacy Technician In-Training
License number
99010037A
Date granted
11/13/2003
Date expires
11/13/2004
Class
Pharmacy Technician In-Training
Status
Superceded
Address
Walton IN 46994
indianalicensing.org
ID 8332058
LAST UPDATED 2024-02-05 10:18:26 UTC

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