The holder whose full name is Slane, Donald A.,come from Fort Wayne IN,hold the Pharmacy Intern license(NO.45012942A) which status is Superceded.
| Name | Slane, Donald A. |
|---|---|
| License Number | 45012942A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |