The holder whose full name is BALLMAN, ERIC THOMAS,come from SHELBYVILLE IN,hold the Pharmacy Intern license(NO.45009239A) which status is Expired.
| Name | BALLMAN, ERIC THOMAS |
|---|---|
| License Number | 45009239A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | SHELBYVILLE |
| State | IN |