The holder whose full name is Harmon, Jack Lawrence,come from Corydon IN,hold the Pharmacy Intern license(NO.45012623A) which status is Superceded.
| Name | Harmon, Jack Lawrence |
|---|---|
| License Number | 45012623A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Corydon |
| State | IN |