The holder whose full name is Fairbrother, Eric Alan,come from Columbus IN,hold the Pharmacy Intern license(NO.45014520A) which status is Superceded.
| Name | Fairbrother, Eric Alan |
|---|---|
| License Number | 45014520A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Columbus |
| State | IN |