Indiana
Professional Licensing Agency
Tia Shalaye Sparks
Pharmacist
License number
26021263A
Date granted
08/08/2003
Date expires
06/30/2016
Class
Pharmacist
Status
Active
Address
Portage IN 46368
indianalicensing.org
ID 8298208
LAST UPDATED 2024-03-28 12:07:28 UTC
LAST UPDATED 2024-03-28 12:07:28 UTC
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