License holder summary

Stacy W Clark is a Pharmacist licensed to practice in Indiana. The address on file for Stacy W Clark is South Bend IN 46635. This licensed professional license is current. The license was granted 11/13/1989 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Stacy W Clark
Pharmacist
License number
26016810A
Date granted
11/13/1989
Date expires
06/30/2016
Class
Pharmacist
Status
Active
Address
South Bend IN 46635
indianalicensing.org
ID 8299186
LAST UPDATED 2024-04-27 04:08:27 UTC

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