The holder whose full name is Bousher, Ava P.,come from Lafayette IN,hold the Pharmacy Intern license(NO.45017218A) which status is Active.
| Name | Bousher, Ava P. |
|---|---|
| License Number | 45017218A |
| License Type | Pharmacy Intern |
| License Status | Active |
| City | Lafayette |
| State | IN |