License holder summary

Tiffany Nichole Clark is a Pharmacy Intern licensed to practice in Indiana. The address on file for Tiffany Nichole Clark is Vevay IN 47043. This licensed professional license is not current. The license was granted 06/25/2002 and expired on 05/01/2004.

Indiana

Professional Licensing Agency

Tiffany Nichole Clark
Pharmacy Intern
License number
45013027A
Date granted
06/25/2002
Date expires
05/01/2004
Class
Pharmacy Intern
Status
Expired
Address
Vevay IN 47043
indianalicensing.org
ID 8309187
LAST UPDATED 2024-04-13 17:41:46 UTC

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