The holder whose full name is BACKUS, DOREEN A,come from LAFAYETTE IN,hold the Pharmacy Intern license(NO.45010441A) which status is Expired.
| Name | BACKUS, DOREEN A |
|---|---|
| License Number | 45010441A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |