Indiana
Professional Licensing Agency
Tina Marie Black
Pharmacy Technician In-Training
License number
99052928A
Date granted
07/24/2012
Date expires
07/24/2013
Class
Pharmacy Technician In-Training
Status
Expired
Address
Peru IN 46970
indianalicensing.org
ID 8327677
LAST UPDATED 2026-06-15 14:23:45 UTC
LAST UPDATED 2026-06-15 14:23:45 UTC
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