The holder whose full name is Bullington, Matthew Douglas,come from Shelbyville IN,hold the Pharmacy Intern license(NO.45013403A) which status is Superceded.
| Name | Bullington, Matthew Douglas |
|---|---|
| License Number | 45013403A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Shelbyville |
| State | IN |