The holder whose full name is GRUSAK, ROBERT ANTHONY,come from LAKE STATION IN,hold the Pharmacy Intern license(NO.45011342A) which status is Expired.
| Name | GRUSAK, ROBERT ANTHONY |
|---|---|
| License Number | 45011342A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | LAKE STATION |
| State | IN |