The holder whose full name is LIGHTCAP, DONALD V,come from FORT WAYNE IN,hold the Pharmacist license(NO.26008356A) which status is Expired Non-Renewable.
Name | LIGHTCAP, DONALD V |
---|---|
License Number | 26008356A |
License Type | Pharmacist |
License Status | Expired Non-Renewable |
City | FORT WAYNE |
State | IN |