The holder whose full name is Moffat, George Thomas,come from Zionsville IN,hold the Pharmacy Intern license(NO.45013689A) which status is Superceded.
| Name | Moffat, George Thomas |
|---|---|
| License Number | 45013689A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Zionsville |
| State | IN |