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.
Name | PRENTISS, DEFOREST E |
---|---|
License Number | 26007909A |
License Type | Pharmacist |
License Status | Expired Non-Renewable |
City | VALPARAISO |
State | IN |