The holder whose full name is NEWCOM, KELLY M,come from West Lafayette IN,hold the Pharmacy Intern license(NO.45012179A) which status is Expired.
| Name | NEWCOM, KELLY M |
|---|---|
| License Number | 45012179A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | West Lafayette |
| State | IN |