Indiana
Professional Licensing Agency
Stacy Suzanne Blackburn
Pharmacy Technician
License number
67005144A
Date granted
12/23/2003
Date expires
06/30/2016
Class
Pharmacy Technician
Status
Active
Address
Richmond IN 47374
indianalicensing.org
ID 8355409
LAST UPDATED 2026-07-11 21:11:02 UTC
LAST UPDATED 2026-07-11 21:11:02 UTC
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