The holder whose full name is Rusch, Travis J.,come from Sullivan IN,hold the Pharmacy Intern license(NO.45013028A) which status is Superceded.
| Name | Rusch, Travis J. |
|---|---|
| License Number | 45013028A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Sullivan |
| State | IN |