The holder whose full name is Wiedemann, Nathan Lyle,come from Woodburn IN,hold the Pharmacy Intern license(NO.45018492A) which status is Active.
| Name | Wiedemann, Nathan Lyle |
|---|---|
| License Number | 45018492A |
| License Type | Pharmacy Intern |
| License Status | Active |
| City | Woodburn |
| State | IN |