Indiana
Professional Licensing Agency
St. Joseph Regional Med Center South Bend Campus
Pharmacy Board - Csr
License number
61101005B
Date granted
01/19/2012
Date expires
12/31/2015
Class
Pharmacy Board - Csr
Status
Active
Address
53940 Carmichael Drive, South Bend IN 46635
indianalicensing.org
ID 24879957
LAST UPDATED 2026-03-24 04:31:04 UTC
LAST UPDATED 2026-03-24 04:31:04 UTC
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