The holder whose full name is THOMAS, CONNIE LYNN,come from Madison IN,hold the Pharmacy Intern license(NO.45011649A) which status is Superceded.
| Name | THOMAS, CONNIE LYNN |
|---|---|
| License Number | 45011649A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Madison |
| State | IN |