License Information

The holder whose full name is PRENTISS, DEFOREST E,come from VALPARAISO IN,hold the Pharmacist license(NO.26007909A) which status is Expired Non-Renewable.

NamePRENTISS, DEFOREST E
License Number26007909A
License TypePharmacist
License StatusExpired Non-Renewable
CityVALPARAISO
StateIN

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