Indiana
Professional Licensing Agency
Tasha Shively
Pharmacy Technician In-Training
License number
99019040A
Date granted
10/31/2005
Date expires
10/31/2006
Class
Pharmacy Technician In-Training
Status
Superceded
Address
Trafalgar IN 46181
indianalicensing.org
ID 8331345
LAST UPDATED 2024-04-23 23:49:52 UTC
LAST UPDATED 2024-04-23 23:49:52 UTC
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