The holder whose full name is Malm, Tamara F.,come from Wayne IL,hold the Pharmacy Intern license(NO.45017717A) which status is Expired.
| Name | Malm, Tamara F. |
|---|---|
| License Number | 45017717A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | Wayne |
| State | IL |