The holder whose full name is Pathak, Ebony Latonya,come from Indianapolis IN,hold the Pharmacy Intern license(NO.45012916A) which status is Superceded.
| Name | Pathak, Ebony Latonya |
|---|---|
| License Number | 45012916A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |