Indiana
Professional Licensing Agency
Susan Bernice Ellis
Pharmacist
License number
26015330A
Date granted
08/10/1984
Date expires
06/30/2000
Class
Pharmacist
Status
Expired Non-Renewable
Address
Fortville IN 46040
indianalicensing.org
ID 8293087
LAST UPDATED 2024-02-11 12:06:24 UTC
LAST UPDATED 2024-02-11 12:06:24 UTC
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