The holder whose full name is HOUSE, ANTHONY WAYNE,come from INDIANAPOLIS IN,hold the Pharmacy Intern license(NO.45009476A) which status is Expired.
| Name | HOUSE, ANTHONY WAYNE |
|---|---|
| License Number | 45009476A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |