The holder whose full name is Jacob, Tina Kaitin,come from Traverse City MI,hold the Pharmacy Intern license(NO.45015249A) which status is Superceded.
Name | Jacob, Tina Kaitin |
---|---|
License Number | 45015249A |
License Type | Pharmacy Intern |
License Status | Superceded |
City | Traverse City |
State | MI |