License holder summary

KELLY MARIE SLACK is a Pharmacy Intern licensed to practice in Indiana. The address on file for KELLY MARIE SLACK is West Lafayette IN 47906. This licensed professional license is not current. The license was granted 01/17/2002 and expired on 05/01/2004.

Indiana

Professional Licensing Agency

KELLY MARIE SLACK
Pharmacy Intern
License number
45012834A
Date granted
01/17/2002
Date expires
05/01/2004
Class
Pharmacy Intern
Status
Expired
Address
West Lafayette IN 47906
indianalicensing.org
ID 8309683
LAST UPDATED 2024-03-15 06:33:54 UTC

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