The holder whose full name is TACHINE, KEVIN,come from STATEN ISLAND NY,hold the Pharmacy Intern license(NO.45010402A) which status is Expired.
| Name | TACHINE, KEVIN |
|---|---|
| License Number | 45010402A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | STATEN ISLAND |
| State | NY |