The holder whose full name is Smith, Cory T,come from Georgetown IN,hold the Pharmacy Intern license(NO.45014000A) which status is Superceded.
| Name | Smith, Cory T |
|---|---|
| License Number | 45014000A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Georgetown |
| State | IN |