The holder whose full name is FAZEKAS, ALLEN R,come from LAKE STATION IN,hold the Pharmacy Intern license(NO.45009543A) which status is Expired.
| Name | FAZEKAS, ALLEN R |
|---|---|
| License Number | 45009543A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | LAKE STATION |
| State | IN |