The holder whose full name is Valle, Lisa Marie,come from Wheatfield IN,hold the Pharmacy Intern license(NO.45012450A) which status is Superceded.
| Name | Valle, Lisa Marie |
|---|---|
| License Number | 45012450A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Wheatfield |
| State | IN |