The holder whose full name is Opacich, Eli,come from Goshen IN,hold the Pharmacy Intern license(NO.45014741A) which status is Superceded.
| Name | Opacich, Eli |
|---|---|
| License Number | 45014741A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Goshen |
| State | IN |