Indiana
Professional Licensing Agency
Scott Wayne Black
Pharmacy Technician
License number
67006202A
Date granted
02/26/2004
Date expires
06/30/2006
Class
Pharmacy Technician
Status
Expired
Address
South Bend IN 46601
indianalicensing.org
ID 8357632
LAST UPDATED 2024-03-28 04:21:18 UTC
LAST UPDATED 2024-03-28 04:21:18 UTC
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