The holder whose full name is Bacurio, Charisse Joson,come from Lafayette IN,hold the Pharmacy Intern license(NO.45015583A) which status is Superceded.
| Name | Bacurio, Charisse Joson |
|---|---|
| License Number | 45015583A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Lafayette |
| State | IN |