Indiana
Professional Licensing Agency
Tara Marie Mickem
Pharmacy Technician In-Training
License number
99028931A
Date granted
09/13/2007
Date expires
09/13/2008
Class
Pharmacy Technician In-Training
Status
Expired
Address
Fort Wayne IN 46815
indianalicensing.org
ID 8317900
LAST UPDATED 2024-03-28 23:51:33 UTC
LAST UPDATED 2024-03-28 23:51:33 UTC
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