Indiana
Professional Licensing Agency
Theresa Anne. Shaw
Pharmacy Technician In-Training
License number
99053677A
Date granted
09/06/2012
Date expires
09/06/2013
Class
Pharmacy Technician In-Training
Status
Superceded
Address
South Bend IN 46614
indianalicensing.org
ID 8330350
LAST UPDATED 2026-05-06 02:14:17 UTC
LAST UPDATED 2026-05-06 02:14:17 UTC
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