The holder whose full name is Ballard, Lance Carlyle,come from Floyds Knobs IN,hold the Pharmacy Intern license(NO.45014608A) which status is Superceded.
| Name | Ballard, Lance Carlyle |
|---|---|
| License Number | 45014608A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Floyds Knobs |
| State | IN |