The holder whose full name is Vaitilingam, Balasubramanian,come from Marion IN,hold the Pharmacy Intern license(NO.45015931A) which status is Superceded.
| Name | Vaitilingam, Balasubramanian |
|---|---|
| License Number | 45015931A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Marion |
| State | IN |