License holder summary

SHANNON SUE WALSTRA is a Pharmacy Intern licensed to practice in Indiana. The address on file for SHANNON SUE WALSTRA is FAIR OAKS IN 47943. This licensed professional license is not current. The license was granted 05/23/1995 and expired on 05/23/2001.

Indiana

Professional Licensing Agency

SHANNON SUE WALSTRA
Pharmacy Intern
License number
45010489A
Date granted
05/23/1995
Date expires
05/23/2001
Class
Pharmacy Intern
Status
Expired
Address
FAIR OAKS IN 47943
indianalicensing.org
ID 8303090
LAST UPDATED 2026-05-08 23:29:24 UTC

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