The holder whose full name is Devenport, Carmen,come from Crown Point IN,hold the Pharmacy Intern license(NO.45012401A) which status is Superceded.
| Name | Devenport, Carmen |
|---|---|
| License Number | 45012401A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Crown Point |
| State | IN |