License holder summary

Derrek Gregory Stark is a Pharmacy Technician In-Training licensed to practice in Indiana. The address on file for Derrek Gregory Stark is Bloomington IN 47401. This licensed professional license is not current. The license was granted 12/14/2012 and expired on 12/14/2013.

Indiana

Professional Licensing Agency

Derrek Gregory Stark
Pharmacy Technician In-Training
License number
99055143A
Date granted
12/14/2012
Date expires
12/14/2013
Class
Pharmacy Technician In-Training
Status
Superceded
Address
Bloomington IN 47401
indianalicensing.org
ID 8311889
LAST UPDATED 2024-03-25 00:14:52 UTC

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