License holder summary

STACEY LYNN ANDERSON is a Pharmacy Intern licensed to practice in Indiana. The address on file for STACEY LYNN ANDERSON is DECATUR IL 62526. This licensed professional license is not current. The license was granted 07/27/1994 and expired on 07/27/2000.

Indiana

Professional Licensing Agency

STACEY LYNN ANDERSON
Pharmacy Intern
License number
45010171A
Date granted
07/27/1994
Date expires
07/27/2000
Class
Pharmacy Intern
Status
Expired
Address
DECATUR IL 62526
indianalicensing.org
ID 8302638
LAST UPDATED 2024-03-13 08:30:44 UTC

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