The holder whose full name is KODIAK, CHAD JOSEPH,come from WEST LAFAYETTE IN,hold the Pharmacy Intern license(NO.45011173A) which status is Expired.
| Name | KODIAK, CHAD JOSEPH |
|---|---|
| License Number | 45011173A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |