The holder whose full name is Gillingham, Jennifer Lynne,come from FORT WAYNE IN,hold the Pharmacy Intern license(NO.45012273A) which status is Superceded.
Name | Gillingham, Jennifer Lynne |
---|---|
License Number | 45012273A |
License Type | Pharmacy Intern |
License Status | Superceded |
City | FORT WAYNE |
State | IN |