Indiana
Professional Licensing Agency
SHANNON RENEE FORDECK
Pharmacy Intern
License number
45008911A
Date granted
04/12/1990
Date expires
04/12/1996
Class
Pharmacy Intern
Status
Expired
Address
AVILLA IN 46710
indianalicensing.org
ID 8301061
LAST UPDATED 2024-04-14 03:42:56 UTC
LAST UPDATED 2024-04-14 03:42:56 UTC
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