The holder whose full name is Ellerman, Charles Joseph,come from Monroe City IN,hold the Pharmacy Intern license(NO.45013700A) which status is Superceded.
| Name | Ellerman, Charles Joseph |
|---|---|
| License Number | 45013700A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Monroe City |
| State | IN |