The holder whose full name is Pola, Daniel Joseph,come from West Lafayette IN,hold the Pharmacy Intern license(NO.45013828A) which status is Superceded.
| Name | Pola, Daniel Joseph |
|---|---|
| License Number | 45013828A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | West Lafayette |
| State | IN |