License holder summary

STACY ANN IVINS is a Pharmacist, Pharmacies - Cs 2 licensed to practice in Michigan. The address on file for STACY ANN IVINS is Southfield, MI 48034. This licensed professional license is not current. The license was granted 06/10/2005 and expired on 12/31/2007.

Michigan

Department of Licensing and Regulation

STACY ANN IVINS
Pharmacist, Pharmacies - Cs 2
License number
5315023019
Date granted
06/10/2005
Date expires
12/31/2007
Class
Pharmacist, Pharmacies - Cs 2
Status
Lapsed
Address
Southfield, MI 48034
michiganlicensing.org
ID 25946850
LAST UPDATED 2024-04-13 00:19:52 UTC

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