The holder whose full name is Bowersock, Jacob Arthur,come from Fort Wayne IN,hold the Pharmacy Intern license(NO.45016924A) which status is Superceded.
| Name | Bowersock, Jacob Arthur |
|---|---|
| License Number | 45016924A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |