The holder whose full name is Foldenauer, Ian Michael,come from South Bend IN,hold the Pharmacy Intern license(NO.45012518A) which status is Superceded.
| Name | Foldenauer, Ian Michael |
|---|---|
| License Number | 45012518A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | South Bend |
| State | IN |