The holder whose full name is AYALA, RICHARD T,come from HAMMOND IN,hold the Pharmacy Intern license(NO.45008904A) which status is Expired.
| Name | AYALA, RICHARD T |
|---|---|
| License Number | 45008904A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | HAMMOND |
| State | IN |