License holder summary

St. Joseph MD Imaging is a Pharmacy Board - Csr licensed to practice in Indiana. The address on file for St. Joseph MD Imaging is 2520 Lake Avenue, Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 04/28/2009 and expired on 12/31/2013.

Indiana

Professional Licensing Agency

St. Joseph MD Imaging
Pharmacy Board - Csr
License number
61100787B
Date granted
04/28/2009
Date expires
12/31/2013
Class
Pharmacy Board - Csr
Status
Expired
Address
2520 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 24876990
LAST UPDATED 2024-05-10 06:21:16 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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