The holder whose full name is JOHNSON, ALTON DALE,come from WEST LAFAYETTE IN,hold the Pharmacist license(NO.26092065A) which status is Expired Non-Renewable.
Name | JOHNSON, ALTON DALE |
---|---|
License Number | 26092065A |
License Type | Pharmacist |
License Status | Expired Non-Renewable |
City | WEST LAFAYETTE |
State | IN |