The holder whose full name is Shutes, Lora S.,come from Mishawaka IN,hold the Pharmacy Intern license(NO.45012911A) which status is Superceded.
| Name | Shutes, Lora S. |
|---|---|
| License Number | 45012911A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |