License holder summary

Stacey Anne Andrist is a Controlled Substance Registration - Veterinarian licensed to practice in Indiana. The address on file for Stacey Anne Andrist is East State Veterinary Clinic, 3319 East State Boulevard, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 09/12/2011 and expired on 10/15/2015.

Indiana

Professional Licensing Agency

Stacey Anne Andrist
Controlled Substance Registration - Veterinarian
License number
24006800B
Date granted
09/12/2011
Date expires
10/15/2015
Class
Controlled Substance Registration - Veterinarian
Status
Active
Address
East State Veterinary Clinic, 3319 East State Boulevard, Fort Wayne IN 46805
indianalicensing.org
ID 8639390
LAST UPDATED 2026-06-12 12:02:29 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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